TARA MOUSTIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024605

License Status

ACTIVE

Business

First Name

TARA

Last Name

MOUSTIS

Suffix

DDS

Business Name

TARA MOUSTIS DDS

Original Issue Date

11/05/1997

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

08/23/2024