BRENDEN D MOON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027433

License Status

ACTIVE

Business

First Name

BRENDEN

Middle

Last Name

MOON

Suffix

DMD

Business Name

BRENDEN D MOON DMD

Original Issue Date

06/25/2007

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

09/06/2024