ROBERT P MOSKAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000896

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

MOSKAL

Business Name

ROBERT P MOSKAL

Original Issue Date

09/16/1995

Effective Date

09/16/1995

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60632

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005