ALLEN JACK MOSES DDS - Dentist License in Illinois | # 019013411

ALLEN JACK MOSES DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013411

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018