EDDIE STANLEY MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042948

License Status

NOT RENEWED

Business

First Name

EDDIE STANLEY

Last Name

MOORE

Suffix

Business Name

EDDIE STANLEY MOORE MD

Original Issue Date

09/26/1969

Effective Date

09/26/1969

Expiration Date

07/31/1996

City

KNOXVILLE

State

Zip

37909

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006