ERIK WESLEY MOON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017643

License Status

NOT RENEWED

Business

First Name

ERIK

Middle

WESLEY

Last Name

MOON

Business Name

ERIK WESLEY MOON

Original Issue Date

06/29/2022

Effective Date

06/29/2022

Expiration Date

09/30/2024

City

DAVENPORT

State

Zip

52804

Ever Disciplined

LastModifiedDate

02/04/2025