MARY DENISE MOORE MD - Medical Doctor License in Michigan | # 036102763

MARY DENISE MOORE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102763

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

DENISE

Last Name

MOORE

Suffix

MD

Business Name

MARY DENISE MOORE MD

Original Issue Date

06/21/2000

Effective Date

06/21/2000

Expiration Date

07/31/2005

State

MI

Ever Disciplined

N

LastModifiedDate

10/09/2006