MARC R MOON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139060

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

Last Name

MOON

Business Name

MARC R MOON MD

Original Issue Date

09/03/2015

Effective Date

09/15/2020

Expiration Date

07/31/2023

City

QUINCY

State

Zip

62301

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023