THOMAS JOHN MOSCINSKI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

First Name

THOMAS

Middle

JOHN

Last Name

MOSCINSKI

Business Name

THOMAS JOHN MOSCINSKI

Original Issue Date

08/05/2022

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

MILWAUKEE

State

Zip

53202

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024