SARAH LOREN MOLES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

Title

DMD

First Name

SARAH

Middle

LOREN

Last Name

MOLES

Business Name

SARAH LOREN MOLES DMD

Original Issue Date

12/10/2018

Effective Date

12/10/2018

Expiration Date

01/31/2022

City

PORTLAND

State

Zip

97201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022