MELINDA BETH MOORE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DPM

First Name

MELINDA

Middle

BETH

Last Name

MOORE

Business Name

MELINDA BETH MOORE DPM

Original Issue Date

03/03/2009

Effective Date

01/02/2025

Expiration Date

01/31/2027

City

BENTON

State

Zip

62812

County

FRANKLIN

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025