MICHAEL B MOORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052098

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

Last Name

MOORE

Business Name

MICHAEL B MOORE MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/03/2007