BRADEN J MOORE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

BRADEN

Middle

Last Name

MOORE

Suffix

DPM

Business Name

BRADEN J MOORE DPM

Original Issue Date

07/24/2012

Effective Date

01/03/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015