HARLEY LEE MOIT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069371

License Status

EXPIRED

Business

Title

First Name

HARLEY

Middle

LEE

Last Name

MOIT

Business Name

HARLEY LEE MOIT DO

Original Issue Date

07/03/2019

Effective Date

07/03/2019

Expiration Date

06/30/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022