MOIRA TERESE PRUETT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071202

License Status

INACTIVE

Business

First Name

MOIRA

Middle

TERESE

Last Name

PRUETT

Suffix

Business Name

MOIRA TERESE PRUETT MD

Original Issue Date

07/22/1985

Effective Date

07/22/1985

Expiration Date

07/31/1987

City

PAW PAW

State

Zip

49079

Ever Disciplined

LastModifiedDate

06/06/2011