JAMES CHACKO WILLIAMS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

Title

DMD

First Name

JAMES

Middle

CHACKO

Last Name

WILLIAMS

Business Name

JAMES CHACKO WILLIAMS DMD

Original Issue Date

05/27/2020

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024