ANNA W MOYNIHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

Title

DMD

First Name

ANNA

Middle

Last Name

MOYNIHAN

Business Name

ANNA W MOYNIHAN DMD

Original Issue Date

05/18/2020

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/02/2024