JOHN STANTON MOSS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012039

License Status

NOT RENEWED

Business

First Name

JOHN STANTON

Last Name

MOSS

Suffix

DDS

Business Name

JOHN STANTON MOSS DDS

Original Issue Date

01/17/1962

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SOUTH BEND

State

Zip

46635

County

INDIANA

Ever Disciplined

LastModifiedDate

11/08/2006