HAZEL E MOORE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018880

License Status

NOT RENEWED

Business

First Name

HAZEL E

Last Name

MOORE

Business Name

HAZEL E MOORE

Original Issue Date

10/06/1983

Effective Date

10/06/1983

Expiration Date

09/30/1984

City

GLENDALE

State

Zip

53209

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005