ANDREW BENJAMIN MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142950

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

BENJAMIN

Last Name

MOORE

Business Name

ANDREW BENJAMIN MOORE MD

Original Issue Date

04/11/2017

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

ROANOKE

State

Zip

24014

Ever Disciplined

LastModifiedDate

07/31/2023