MARY ELLEN MOORE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136856

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

ELLEN

Last Name

MOORE

Business Name

MARY ELLEN MOORE DO

Original Issue Date

11/25/2014

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2023