LEE EUGENE MOORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

LEE EUGENE

Last Name

MOORE

Suffix

DDS

Business Name

LEE EUGENE MOORE DDS

Original Issue Date

01/01/1998

Effective Date

06/16/2009

Expiration Date

09/30/2012

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/14/2012