BRYAN J MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

BRYAN

Middle

Last Name

MOORE

Business Name

BRYAN J MOORE MD

Original Issue Date

02/02/2017

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62729

County

NEW JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021