EVERETT LOUIS MOORE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002616

License Status

NOT RENEWED

Business

First Name

EVERETT LOUIS

Last Name

MOORE

Business Name

EVERETT LOUIS MOORE

Original Issue Date

07/28/1970

Effective Date

07/28/1970

City

PONCA CITY

State

Zip

74601

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/25/2006