TARA MOUSTIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

TARA

Last Name

MOUSTIS

Suffix

DDS

Business Name

TARA MOUSTIS DDS

Original Issue Date

11/12/1997

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024