TIMOTHY T MOSS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026059

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

MOSS

Suffix

DDS

Business Name

TIMOTHY T MOSS DDS

Original Issue Date

02/28/2003

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

09/09/2024