ALYSHA RENEE MOLL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALYSHA

Middle

RENEE

Last Name

MOLL

Business Name

ALYSHA RENEE MOLL DDS

Original Issue Date

12/28/2021

Effective Date

12/28/2021

Expiration Date

09/30/2024

City

HAMMOND

State

Zip

46324

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025