RICHARD A MOORE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027665

License Status

EXPIRED

Business

First Name

RICHARD A

Last Name

MOORE

Business Name

RICHARD A MOORE

Original Issue Date

04/17/1992

Effective Date

04/17/1992

Expiration Date

06/30/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Colon & Rectal Surgery

Ever Disciplined

LastModifiedDate

09/22/2006