TERRY L MOORE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085229

License Status

INACTIVE

Business

First Name

TERRY L

Last Name

MOORE

Suffix

Business Name

TERRY L MOORE MD

Original Issue Date

08/26/1992

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/07/2011