LEE EUGENE MOORE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014937

License Status

INACTIVE

Business

First Name

LEE EUGENE

Last Name

MOORE

Suffix

DDS

Business Name

LEE EUGENE MOORE DDS

Original Issue Date

07/17/1974

Effective Date

06/16/2009

Expiration Date

09/30/2012

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/06/2012