KEVIN THOMAS MOSS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

First Name

KEVIN

Middle

THOMAS

Last Name

MOSS

Suffix

DMD

Business Name

KEVIN THOMAS MOSS DMD

Original Issue Date

03/06/2006

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2024