MARY DENISE MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102763

License Status

NOT RENEWED

Business

First Name

MARY

Middle

DENISE

Last Name

MOORE

Suffix

Business Name

MARY DENISE MOORE MD

Original Issue Date

06/21/2000

Effective Date

06/21/2000

Expiration Date

07/31/2005

City

KALAMAZOO

State

Zip

49008

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006