MARK NICHOLAS WILLIAMS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

MARK NICHOLAS

Last Name

WILLIAMS

Suffix

DMD

Business Name

MARK NICHOLAS WILLIAMS DMD

Original Issue Date

01/01/1998

Effective Date

07/20/2018

Expiration Date

01/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022