HENRY D MOORE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

HENRY D

Last Name

MOORE

Suffix

DDS

Business Name

HENRY D MOORE DDS

Original Issue Date

08/29/1983

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024