MICHAEL SCOTT MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158644

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

SCOTT

Last Name

MOORE

Business Name

MICHAEL SCOTT MOORE MD

Original Issue Date

10/28/2021

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CARMI

State

Zip

62821

Ever Disciplined

LastModifiedDate

06/26/2023