BURTON MORA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

BURTON

Last Name

MORA

Business Name

BURTON MORA

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/08/2006