CAROL J MOORE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

CAROL J

Last Name

MOORE

Business Name

CAROL J MOORE

Original Issue Date

03/31/1989

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025