PHILLIP MOY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

PHILLIP

Last Name

MOY

Business Name

PHILLIP MOY

Original Issue Date

08/16/1983

Effective Date

11/04/2021

Expiration Date

09/30/2024

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025