ROBERT MILLARD MOORE SR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

ROBERT MILLARD

Last Name

MOORE SR

Business Name

ROBERT MILLARD MOORE SR

Original Issue Date

08/23/1984

Effective Date

08/23/1984

Expiration Date

01/31/1993

City

ST LOUIS

State

Zip

63121

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006