BURTON EMERSON MOORE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053170

License Status

INACTIVE

Business

First Name

BURTON

Middle

EMERSON

Last Name

MOORE

Suffix

Business Name

BURTON EMERSON MOORE MD

Original Issue Date

08/19/1976

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/07/2011

Case Number

2003007047

Action

Probation

Discipline Start Date

12/05/2007

Discipline End Date

12/04/2008

Discipline Reason

due to unprofessional conduct.