RANDALL D MOY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

ACTIVE

Business

First Name

RANDALL D

Last Name

MOY

Business Name

RANDALL D MOY

Original Issue Date

09/28/1981

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

WHEELING

State

Zip

60090

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024