REX DALE MOORE D D S Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014365

License Status

NOT RENEWED

Business

First Name

REX DALE

Last Name

MOORE D D S

Business Name

REX DALE MOORE D D S

Original Issue Date

07/12/1972

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2010