CHARLES C MOORE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038540

License Status

NOT RENEWED

Business

First Name

CHARLES C

Last Name

MOORE JR

Suffix

Business Name

CHARLES C MOORE JR MD

Original Issue Date

08/29/1963

Effective Date

08/29/1963

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

09/20/2006