SCOTT RICHARD MOORE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171872

License Status

ACTIVE

Business

Title

First Name

SCOTT

Middle

RICHARD

Last Name

MOORE

Business Name

SCOTT RICHARD MOORE DO

Original Issue Date

09/06/2024

Effective Date

09/06/2024

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

08/26/2024