KELAN A MOORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026653

License Status

EXPIRED

Business

First Name

KELAN A

Last Name

MOORE

Suffix

Business Name

KELAN A MOORE MD

Original Issue Date

05/14/1991

Effective Date

05/14/1991

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006