Nicholas Theodore Moore
ActiveIllinois license 020016606
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020016606
- Status
- Active
- First issued
- July 30, 2019
- Expires
- September 30, 2027
- License holder
- Nicholas Theodore Moore
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 05/02/2024
Contact
Peoria, IL 61604
Peoria County