GRACE ELIZABETH MOORE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

Title

DDS

First Name

GRACE

Middle

ELIZABETH

Last Name

MOORE

Business Name

GRACE ELIZABETH MOORE DDS

Original Issue Date

07/17/2020

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024