TANNER MOORE FLAHERTY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

Title

DMD

First Name

TANNER

Middle

MOORE

Last Name

FLAHERTY

Business Name

TANNER MOORE FLAHERTY DMD

Original Issue Date

10/23/2015

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2024