BRISTOL MARIE WILLIAMS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRISTOL

Middle

MARIE

Last Name

WILLIAMS

Business Name

BRISTOL MARIE WILLIAMS DDS

Original Issue Date

03/20/2014

Effective Date

03/20/2014

Expiration Date

09/30/2015

City

PLAINFIELD

State

Zip

60585

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016