ROSS A MOORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066768

License Status

EXPIRED

Business

First Name

ROSS

Middle

Last Name

MOORE

Suffix

Business Name

ROSS A MOORE MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/25/2018