ROBERT MICHAEL MOORE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106483

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

MICHAEL

Last Name

MOORE

Business Name

ROBERT MICHAEL MOORE

Original Issue Date

03/12/2002

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011