ROBERT CARL MOEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019860

License Status

NOT RENEWED

Business

First Name

ROBERT CARL

Last Name

MOEN

Business Name

ROBERT CARL MOEN

Original Issue Date

10/01/1985

Effective Date

08/10/2018

Expiration Date

01/31/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022