THOMAS HAROLD MOORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013410

License Status

NOT RENEWED

Business

First Name

THOMAS HAROLD

Last Name

MOORE

Suffix

DDS

Business Name

THOMAS HAROLD MOORE DDS

Original Issue Date

07/16/1968

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2016