DANA A MOODY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

DANA A

Last Name

MOODY

Suffix

DMD

Business Name

DANA A MOODY DMD

Original Issue Date

09/10/1990

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025