GERALD WALLACE MOORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008134

License Status

NOT RENEWED

Business

First Name

GERALD WALLACE

Last Name

MOORE

Suffix

DDS

Business Name

GERALD WALLACE MOORE DDS

Original Issue Date

03/03/1941

Effective Date

03/03/1941

Expiration Date

04/01/1982

City

GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005