DANIEL L MOORE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

MOORE

Business Name

DANIEL L MOORE

Original Issue Date

04/01/2003

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023