TOMMY EARL MOORE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117471

License Status

NOT RENEWED

Business

First Name

TOMMY

Middle

EARL

Last Name

MOORE

Business Name

TOMMY EARL MOORE

Original Issue Date

01/18/2007

Effective Date

01/18/2007

Expiration Date

07/31/2008

City

FT WORTH

State

Zip

76107

Ever Disciplined

LastModifiedDate

11/06/2008