ALYSHA RENEE MOLL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALYSHA

Middle

RENEE

Last Name

MOLL

Business Name

ALYSHA RENEE MOLL DDS

Original Issue Date

09/08/2014

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022