TIMOTHY T MOSS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

MOSS

Suffix

DDS

Business Name

TIMOTHY T MOSS DDS

Original Issue Date

03/29/2004

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024