ALEX CHARLES MOORE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

Title

DMD

First Name

ALEX

Middle

CHARLES

Last Name

MOORE

Business Name

ALEX CHARLES MOORE DMD

Original Issue Date

12/07/2016

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024