RANDALL S MOORE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086507

License Status

INACTIVE

Business

First Name

RANDALL S

Last Name

MOORE

Suffix

Business Name

RANDALL S MOORE MD

Original Issue Date

06/18/1993

Effective Date

06/18/1993

Expiration Date

07/31/2005

City

MINNEAPOLIS

State

Zip

55410

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/09/2006