BRADEN J MOORE DPM - Podiatrist License in Illinois | # 135000743

BRADEN J MOORE DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000743

License Status

EXPIRED

Business

N

First Name

BRADEN

Middle

J

Last Name

MOORE

Suffix

DPM

Business Name

BRADEN J MOORE DPM

Original Issue Date

06/21/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

08/29/2012