COLLEEN JOHNSON MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113689

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

JOHNSON

Last Name

MOORE

Suffix

Business Name

COLLEEN JOHNSON MOORE MD

Original Issue Date

05/13/2005

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CAPE GIRARDEAU

State

Zip

63703

Ever Disciplined

LastModifiedDate

04/13/2023