HALEY M MOSS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015206

License Status

ACTIVE

Business

First Name

HALEY

Middle

Last Name

MOSS

Business Name

HALEY M MOSS

Original Issue Date

08/03/2015

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/20/2024