NATHAN W MOORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134600

License Status

NOT RENEWED

Business

Title

First Name

NATHAN

Middle

Last Name

MOORE

Business Name

NATHAN W MOORE MD

Original Issue Date

02/19/2014

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017