MICHAEL D MOORE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091941

License Status

INACTIVE

Business

First Name

MICHAEL D

Last Name

MOORE

Business Name

MICHAEL D MOORE

Original Issue Date

10/02/1995

Effective Date

10/02/1995

Expiration Date

07/31/1999

City

ALBANY

State

Zip

12206

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006