J Daedalus Moon
ExpiredIllinois license 31*****35
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****35
- Status
- Expired (Not Renewed)
- First issued
- December 10, 1986
- Expired
- September 30, 1990
- License holder
- J Daedalus Moon
- 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
- 12/10/1986
Other Illinois licenses under this name
-
IL
InactiveMadison, WIExpired Sep 30, 1992
Contact
Rockford, IL 61108
Winnebago County