DERRICK LYNN WILLIAMSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

DERRICK LYNN

Last Name

WILLIAMSON

Business Name

DERRICK LYNN WILLIAMSON

Original Issue Date

02/25/1999

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024