LARRY C MOORE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017487

License Status

EXPIRED

Business

First Name

LARRY

Middle

Last Name

MOORE

Business Name

LARRY C MOORE

Original Issue Date

07/10/1984

Effective Date

07/10/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Cardiology

Ever Disciplined

LastModifiedDate

09/22/2006