JACK F MOORES III DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000454

License Status

NOT RENEWED

Business

First Name

JACK F

Last Name

MOORES III

Suffix

DDS

Business Name

JACK F MOORES III DDS

Original Issue Date

06/26/1990

Effective Date

06/26/1990

Expiration Date

06/30/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005