KELLY JAMES MOORE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018631

License Status

ACTIVE

Business

First Name

KELLY JAMES

Last Name

MOORE

Business Name

KELLY JAMES MOORE

Original Issue Date

07/25/1983

Effective Date

06/11/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/11/2024