JEFFREY W MOOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026583

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

MOOS

Suffix

DDS

Business Name

JEFFREY W MOOS DDS

Original Issue Date

09/10/2004

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

MONDOVI

State

Zip

54755

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018