WILLIAM D MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069188

License Status

NOT RENEWED

Business

First Name

WILLIAM D

Last Name

MOORE

Suffix

Business Name

WILLIAM D MOORE MD

Original Issue Date

08/09/1984

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021