ERIN M MORELAND DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

MORELAND

Suffix

DDS

Business Name

ERIN M MORELAND DDS

Original Issue Date

04/14/2005

Effective Date

09/22/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012