BRIAN T MOORE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

MOORE

Suffix

DDS

Business Name

BRIAN T MOORE DDS

Original Issue Date

08/08/1996

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024