KIA LYNN SWAN-MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100104

License Status

NOT RENEWED

Business

First Name

KIA

Middle

LYNN

Last Name

SWAN-MOORE

Suffix

Business Name

KIA LYNN SWAN-MOORE MD

Original Issue Date

04/29/1999

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017