ANGELA COLEEN MOORE CLAY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041398

License Status

EXPIRED

Business

First Name

ANGELA

Middle

COLEEN MOORE

Last Name

CLAY

Suffix

Business Name

ANGELA COLEEN MOORE CLAY DO

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006