KIRK IRA MORAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017069

License Status

NOT RENEWED

Business

First Name

KIRK IRA

Last Name

MORAN

Suffix

DMD

Business Name

KIRK IRA MORAN DMD

Original Issue Date

02/19/1980

Effective Date

02/19/1980

Expiration Date

09/30/1986

City

PHOENIX

State

Zip

85029

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005