SCOTT RICHARD MOORE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

SCOTT

Middle

RICHARD

Last Name

MOORE

Business Name

SCOTT RICHARD MOORE DO

Original Issue Date

09/06/2024

Effective Date

09/06/2024

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024