MICHAEL C MOON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023704

License Status

ACTIVE

Business

First Name

MICHAEL C

Last Name

MOON

Suffix

DDS

Business Name

MICHAEL C MOON DDS

Original Issue Date

10/07/1994

Effective Date

06/17/2024

Expiration Date

09/30/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/17/2024