MELINDA BETH MOORE DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000622

License Status

EXPIRED

Business

Title

DPM

First Name

MELINDA

Middle

BETH

Last Name

MOORE

Business Name

MELINDA BETH MOORE DPM

Original Issue Date

07/31/2006

Effective Date

07/31/2006

Expiration Date

06/30/2007

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/03/2007