TODD ALAN MOLIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

TODD ALAN

Last Name

MOLIS

Suffix

DDS

Business Name

TODD ALAN MOLIS DDS

Original Issue Date

01/01/1998

Effective Date

06/20/2012

Expiration Date

09/30/2015

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/08/2016