ANNA W MOYNIHAN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002099

License Status

EXPIRED

Business

Title

DMD

First Name

ANNA

Middle

Last Name

MOYNIHAN

Business Name

ANNA W MOYNIHAN DMD

Original Issue Date

05/31/2019

Effective Date

06/24/2019

Expiration Date

06/30/2020

City

EVANSTON

State

Zip

60201

Ever Disciplined

LastModifiedDate

11/19/2020