ALLEN JACK MOSES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013411

License Status

NOT RENEWED

Business

First Name

ALLEN JACK

Last Name

MOSES

Suffix

DDS

Business Name

ALLEN JACK MOSES DDS

Original Issue Date

07/16/1968

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018