Kelly James Moore
ActiveIllinois license 31*****16
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****16
- Status
- Active
- First issued
- August 3, 1983
- Expires
- September 30, 2027
- License holder
- Kelly James Moore
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 06/11/2024
Other Illinois licenses under this name
-
IL
ActiveRockford, ILExpires Sep 30, 2027
Contact
Rockford, IL 61107
Winnebago County