RICHARD ALAN MOORE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014635

License Status

NOT RENEWED

Business

First Name

RICHARD ALAN

Last Name

MOORE

Suffix

DMD

Business Name

RICHARD ALAN MOORE DMD

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

04/01/1976

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005