EDWARD LOUIS MOORHEAD II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038557

License Status

NOT RENEWED

Business

First Name

EDWARD LOUIS

Last Name

MOORHEAD II

Suffix

Business Name

EDWARD LOUIS MOORHEAD II MD

Original Issue Date

09/05/1963

Effective Date

09/05/1963

City

GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006