PAIGE ANNE MOORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

ANNE

Last Name

MOORE

Suffix

DDS

Business Name

PAIGE ANNE MOORE DDS

Original Issue Date

06/02/2006

Effective Date

06/02/2006

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006