JACOB R MOORE MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042621290

License Status

NOT RENEWED

Business

Business Name

JACOB R MOORE MD SC

Original Issue Date

12/11/2023

Effective Date

12/11/2023

Expiration Date

01/01/2025

City

CHICAGO

State

Zip

60657

Ever Disciplined

LastModifiedDate

04/03/2025