LEE JOSEPH MOORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

Title

DDS

First Name

LEE

Middle

JOSEPH

Last Name

MOORE

Business Name

LEE JOSEPH MOORE DDS

Original Issue Date

01/01/1998

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018