CRAIG MOSS LEFFINGWELL DMD

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****65

NOT RENEWED

N

CRAIG MOSS

LEFFINGWELL

DMD

CRAIG MOSS LEFFINGWELL DMD

01/01/1998

09/30/1986

CHICAGO

IL

60659

COOK

II III IV V

N

10/13/2005