KEVIN D MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

Last Name

MOORE

Business Name

KEVIN D MOORE MD

Original Issue Date

04/03/2014

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

STAFFORD

State

Zip

22554

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023