D SCOTT MOORE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110228

License Status

NOT RENEWED

Business

First Name

Middle

SCOTT

Last Name

MOORE

Suffix

Business Name

D SCOTT MOORE DO

Original Issue Date

10/06/2003

Effective Date

10/06/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

11/15/2006