DERMOT JOHN MOORE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015203

License Status

EXPIRED

Business

First Name

DERMOT JOHN

Last Name

MOORE

Business Name

DERMOT JOHN MOORE

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006