OMAR MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

Title

First Name

OMAR

Last Name

MOORE

Business Name

OMAR MOORE MD

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

32216

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021