STACEY DENISE MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139932

License Status

NOT RENEWED

Business

Title

First Name

STACEY

Middle

DENISE

Last Name

MOORE

Business Name

STACEY DENISE MOORE MD

Original Issue Date

03/03/2016

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

SPRING

State

Zip

77373

Ever Disciplined

LastModifiedDate

12/15/2025