KELLIE LYNN MOORE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031614

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

LYNN

Last Name

MOORE

Business Name

KELLIE LYNN MOORE

Original Issue Date

06/04/2018

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2025