THEODORE MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125087109

License Status

ACTIVE

Business

Title

First Name

THEODORE

Last Name

MOORE

Business Name

THEODORE MOORE MD

Original Issue Date

07/01/2026

Effective Date

07/01/2026

Expiration Date

06/30/2029

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

03/06/2026