EDWARD N MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

EDWARD N

Last Name

MOORE

Suffix

Business Name

EDWARD N MOORE MD

Original Issue Date

06/08/1990

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

ELDORADO

State

Zip

62930

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023