JAMES THOMAS MOFFITT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

JAMES THOMAS

Last Name

MOFFITT

Suffix

DDS

Business Name

JAMES THOMAS MOFFITT DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005