LISA MARIE MOORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064683

License Status

EXPIRED

Business

Title

First Name

LISA

Middle

MARIE

Last Name

MOORE

Business Name

LISA MARIE MOORE MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017