KELAN A MOORE MD - Medical Doctor License in Wisconsin | # 036088246

KELAN A MOORE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088246

License Status

INACTIVE

Business

N

First Name

KELAN A

Last Name

MOORE

Suffix

MD

Business Name

KELAN A MOORE MD

Original Issue Date

04/07/1994

Effective Date

04/07/1994

Expiration Date

07/31/2002

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006