MARIANNE MOORE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012329

License Status

EXPIRED

Business

First Name

MARIANNE

Last Name

MOORE

Business Name

MARIANNE MOORE

Original Issue Date

05/26/1981

Effective Date

05/26/1981

Expiration Date

06/24/1983

City

OAK PARK

State

Zip

60302

Ever Disciplined

LastModifiedDate

09/22/2006