NATHAN W MOORE MD - Medical Doctor License in Wisconsin | # 036134600

NATHAN W MOORE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134600

License Status

NOT RENEWED

Business

N

Title

MD

First Name

NATHAN

Middle

W

Last Name

MOORE

Business Name

NATHAN W MOORE MD

Original Issue Date

02/19/2014

Effective Date

05/08/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017