STEVEN W MOORE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****84

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

MOORE

Suffix

Business Name

STEVEN W MOORE OD

Original Issue Date

01/14/2008

Effective Date

03/06/2014

Expiration Date

03/31/2016

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016