SANDERS MIDDLETO MOODY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019151

License Status

INACTIVE

Business

First Name

SANDERS MIDDLETO

Last Name

MOODY

Business Name

SANDERS MIDDLETO MOODY

Original Issue Date

08/06/1984

Effective Date

08/06/1984

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005