JAMES CLARENCE MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

JAMES CLARENCE

Last Name

MOORE

Suffix

Business Name

JAMES CLARENCE MOORE MD

Original Issue Date

01/01/1997

Effective Date

01/30/2012

Expiration Date

07/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020