MICHAEL SEAN MOORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053975

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

SEAN

Last Name

MOORE

Business Name

MICHAEL SEAN MOORE MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011