DAVID G MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077697

License Status

NOT RENEWED

Business

First Name

DAVID G

Last Name

MOORE

Suffix

Business Name

DAVID G MOORE MD

Original Issue Date

08/20/1988

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023