MICHAEL B MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129454

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

MOORE

Business Name

MICHAEL B MOORE MD

Original Issue Date

01/12/2012

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021