COLLEEN JOHNSON MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

JOHNSON

Last Name

MOORE

Suffix

Business Name

COLLEEN JOHNSON MOORE MD

Original Issue Date

06/09/2005

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023