JEANNIE MOSKIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

JEANNIE

Last Name

MOSKIN

Suffix

DDS

Business Name

JEANNIE MOSKIN DDS

Original Issue Date

09/04/1985

Effective Date

09/04/1985

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005