BERNARD JOHN MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033059

License Status

NOT RENEWED

Business

First Name

BERNARD JOHN

Last Name

MOORE

Suffix

Business Name

BERNARD JOHN MOORE MD

Original Issue Date

10/01/1954

Effective Date

07/17/2008

Expiration Date

07/31/2011

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011