MICHAEL J MOORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

MOORE

Suffix

DDS

Business Name

MICHAEL J MOORE DDS

Original Issue Date

01/01/1998

Effective Date

06/15/2018

Expiration Date

01/31/2022

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022