DEAN P J WILLIAMS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

DEAN

Middle

P J

Last Name

WILLIAMS

Business Name

DEAN P J WILLIAMS MD

Original Issue Date

12/09/2002

Effective Date

07/25/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62729

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011