DANIEL T MORAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

MORAN

Suffix

DDS

Business Name

DANIEL T MORAN DDS

Original Issue Date

01/14/1997

Effective Date

01/14/1997

Expiration Date

09/30/1998

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005