BRIAN DEAN MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104195

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DEAN

Last Name

MOORE

Suffix

Business Name

BRIAN DEAN MOORE MD

Original Issue Date

02/15/2001

Effective Date

02/15/2001

Expiration Date

07/31/2002

City

KANSAS CITY

State

Zip

64114

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006