DANIEL J MOFFETT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

MOFFETT

Business Name

DANIEL J MOFFETT

Original Issue Date

01/26/1988

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2024