JILL O MOORE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042349

License Status

EXPIRED

Business

First Name

JILL

Middle

Last Name

MOORE

Business Name

JILL O MOORE

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006