VERNON J MOORE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

VERNON

Middle

Last Name

MOORE

Business Name

VERNON J MOORE

Original Issue Date

01/01/1997

Effective Date

06/16/2011

Expiration Date

07/31/2014

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014