HARRIET M MOON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006339

License Status

NOT RENEWED

Business

First Name

HARRIET M

Last Name

MOON

Business Name

HARRIET M MOON

Original Issue Date

03/18/1987

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

04/25/2016