BRADEN J MOORE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005527

License Status

NOT RENEWED

Business

First Name

BRADEN

Middle

Last Name

MOORE

Suffix

DPM

Business Name

BRADEN J MOORE DPM

Original Issue Date

06/25/2012

Effective Date

01/03/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2015