Michael Baxter Moore Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019015384

Status

Inactive

First issued

December 3, 1975

Expired

September 30, 2015

License holder

Michael Baxter Moore Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

06/25/2012

Other Illinois licenses under this name

• IL
  Michael Baxter Moore Dds

  License 31*****38

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Park Forest, IL

  Expired Sep 30, 1984

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