MICHAEL DAVID MORA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

MICHAEL DAVID

Last Name

MORA

Business Name

MICHAEL DAVID MORA

Original Issue Date

08/10/1983

Effective Date

11/10/2021

Expiration Date

09/30/2024

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025