PHILLIP W MOORAD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

First Name

PHILLIP

Middle

Last Name

MOORAD

Business Name

PHILLIP W MOORAD

Original Issue Date

06/13/2011

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

NORTHFIELD

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024