PHILIP A MOORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025206

License Status

EXPIRED

Business

First Name

PHILIP

Middle

Last Name

MOORE

Suffix

Business Name

PHILIP A MOORE MD

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/21/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006