PAUL S MOOTS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064267

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

Last Name

MOOTS

Business Name

PAUL S MOOTS MD

Original Issue Date

07/18/2014

Effective Date

07/18/2014

Expiration Date

07/17/2016

City

PEORIA

State

Zip

61637

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/25/2014