VERNON J MOORE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042522

License Status

NOT RENEWED

Business

First Name

VERNON

Middle

Last Name

MOORE

Business Name

VERNON J MOORE

Original Issue Date

07/01/1969

Effective Date

06/16/2011

Expiration Date

07/31/2014

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014