MOSES KADEEM RASBERRY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

MOSES

Middle

KADEEM

Last Name

RASBERRY

Business Name

MOSES KADEEM RASBERRY

Original Issue Date

06/21/2022

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

HAZEL CREST

State

Zip

60429

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024