STEVEN W MOORE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

MOORE

Suffix

Business Name

STEVEN W MOORE OD

Original Issue Date

01/06/1997

Effective Date

03/06/2014

Expiration Date

03/31/2016

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016