KIA LYNN SWAN-MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

KIA

Middle

LYNN

Last Name

SWAN-MOORE

Suffix

Business Name

KIA LYNN SWAN-MOORE MD

Original Issue Date

05/03/1999

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017