MARITA L MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098387

License Status

NOT RENEWED

Business

First Name

MARITA

Middle

Last Name

MOORE

Suffix

Business Name

MARITA L MOORE MD

Original Issue Date

07/21/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/20/2009