EDWARD N MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

EDWARD N

Last Name

MOORE

Suffix

Business Name

EDWARD N MOORE MD

Original Issue Date

08/23/1991

Effective Date

08/23/1991

Expiration Date

07/31/1993

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020