TED MOYER MASON DDS 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

TED MOYER

Last Name

MASON

Suffix

DDS

Business Name

TED MOYER MASON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005