AGNES H MOON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050937

License Status

NOT RENEWED

Business

First Name

AGNES H

Last Name

MOON

Suffix

Business Name

AGNES H MOON MD

Original Issue Date

04/14/1975

Effective Date

04/14/1975

Expiration Date

07/31/1987

City

COLUMBIA

State

Zip

65201

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006