JONATHAN DARIUS MOON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013047

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

DARIUS

Last Name

MOON

Business Name

JONATHAN DARIUS MOON

Original Issue Date

08/28/2009

Effective Date

08/28/2009

Expiration Date

09/30/2012

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012