CHRISTOPHER JACK MOYER Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

CANCELLED

Business

First Name

CHRISTOPHER JACK

Last Name

MOYER

Business Name

CHRISTOPHER JACK MOYER

Original Issue Date

10/18/1984

Effective Date

10/18/1984

Expiration Date

09/30/1986

City

BUFFALO GROVE

State

Zip

60090

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005