BRIANA S MOODY DDS - Dentist License in Illinois | # 018002115

BRIANA S MOODY DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002115

License Status

EXPIRED

Business

N

Title

DDS

First Name

BRIANA

Middle

S

Last Name

MOODY

Business Name

BRIANA S MOODY DDS

Original Issue Date

07/15/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022