JOHN DAVID MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

JOHN

Middle

DAVID

Last Name

MOORE

Suffix

Business Name

JOHN DAVID MOORE MD

Original Issue Date

04/16/2007

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023