Blake Edward Moores

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019018704

Status

Expired (Not Renewed)

First issued

August 2, 1983

Expired

September 30, 1986

License holder

Blake Edward Moores

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/02/1983

Other Illinois licenses under this name

• IL
  Blake Edward Moores

  License 31*****92

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Chicago, IL

  Expired Sep 30, 1986

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