KIRK IRA MORAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

KIRK IRA

Last Name

MORAN

Suffix

DMD

Business Name

KIRK IRA MORAN DMD

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

RICHMOND

State

Zip

60071

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005