KEVIN THOMAS MOSS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026156

License Status

ACTIVE

Business

First Name

KEVIN

Middle

THOMAS

Last Name

MOSS

Suffix

DMD

Business Name

KEVIN THOMAS MOSS DMD

Original Issue Date

06/18/2003

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/29/2024