JOHN B MOORE IV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

JOHN B

Last Name

MOORE IV

Suffix

Business Name

JOHN B MOORE IV MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006