RENATA C MOORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030516

License Status

EXPIRED

Business

First Name

RENATA C

Last Name

MOORE

Suffix

Business Name

RENATA C MOORE MD

Original Issue Date

06/29/1993

Effective Date

06/29/1993

Expiration Date

06/30/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006