MARC R MOON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

Last Name

MOON

Business Name

MARC R MOON MD

Original Issue Date

09/03/2015

Effective Date

09/03/2015

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020