KRISTIN LEE MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134628

License Status

NOT RENEWED

Business

Title

First Name

KRISTIN

Middle

LEE

Last Name

MOORE

Business Name

KRISTIN LEE MOORE MD

Original Issue Date

02/20/2014

Effective Date

07/20/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023