THOMAS E MOORE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000304

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

MOORE

Business Name

THOMAS E MOORE

Original Issue Date

11/09/1988

Effective Date

11/09/1988

Expiration Date

07/07/1989

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005