MICHAEL D MOORE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030420

License Status

EXPIRED

Business

First Name

MICHAEL D

Last Name

MOORE

Business Name

MICHAEL D MOORE

Original Issue Date

06/22/1993

Effective Date

06/22/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006