WYNTRIA DONELLE LACABE-MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134228

License Status

NOT RENEWED

Business

Title

First Name

WYNTRIA

Middle

DONELLE

Last Name

LACABE-MOORE

Business Name

WYNTRIA DONELLE LACABE-MOORE MD

Original Issue Date

11/25/2013

Effective Date

11/25/2013

Expiration Date

07/31/2014

City

AUSTIN

State

Zip

78746

County

TEXAS

Ever Disciplined

LastModifiedDate

11/17/2014