TED MOYER MASON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010158

License Status

NOT RENEWED

Business

First Name

TED MOYER

Last Name

MASON

Suffix

DDS

Business Name

TED MOYER MASON DDS

Original Issue Date

08/21/1952

Effective Date

08/21/1952

Expiration Date

09/30/1990

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/12/2005