DESHON TARIQ MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132147

License Status

ACTIVE

Business

Title

First Name

DESHON

Middle

TARIQ

Last Name

MOORE

Business Name

DESHON TARIQ MOORE MD

Original Issue Date

03/28/2013

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023