MEGAN MARIE MOORE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****74

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MARIE

Last Name

MOORE

Suffix

Business Name

MEGAN MARIE MOORE OD

Original Issue Date

10/11/2011

Effective Date

03/16/2020

Expiration Date

05/31/2022

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022