KRISTIN LEE MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

KRISTIN

Middle

LEE

Last Name

MOORE

Business Name

KRISTIN LEE MOORE MD

Original Issue Date

04/17/2014

Effective Date

07/20/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023