SUSAN K MOORE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

MOORE

Business Name

SUSAN K MOORE

Original Issue Date

01/01/1998

Expiration Date

01/31/1993

City

HOFFMAN ESTATES

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006