JONATHAN DARIUS MOON - Dentist License in Illinois | # 020013047

JONATHAN DARIUS MOON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013047

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012