WILLIAM D MOORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015237

License Status

EXPIRED

Business

First Name

WILLIAM D

Last Name

MOORE

Suffix

Business Name

WILLIAM D MOORE MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006