KATHRYN RAE MOORE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027990

License Status

ACTIVE

Business

First Name

KATHRYN

Middle

RAE

Last Name

MOORE

Suffix

DMD

Business Name

KATHRYN RAE MOORE DMD

Original Issue Date

06/09/2009

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2024