JOHN FREDERICK MOORE 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

JOHN

Middle

FREDERICK

Last Name

MOORE

Suffix

DDS

Business Name

JOHN FREDERICK MOORE DDS

Original Issue Date

12/09/1986

Effective Date

12/09/1986

Expiration Date

09/30/1998

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005