JUSTIN RICHARDSON MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085396

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

RICHARDSON

Last Name

MOORE

Business Name

JUSTIN RICHARDSON MOORE MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/06/2025