JOHN FREDERICK MOORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

FREDERICK

Last Name

MOORE

Suffix

DDS

Business Name

JOHN FREDERICK MOORE DDS

Original Issue Date

10/07/1996

Effective Date

09/14/2009

Expiration Date

09/30/2012

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012