JAMES THOMAS MOORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

THOMAS

Last Name

MOORE

Suffix

DDS

Business Name

JAMES THOMAS MOORE DDS

Original Issue Date

12/08/2009

Effective Date

12/08/2009

Expiration Date

09/30/2012

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012