License holder summary

DENNIS J. MOORE is a Board Of Medicine licensed to practice in Idaho. The address on file for DENNIS J. MOORE is 3982 North 450 West Provo UT 84604. This licensed professional license is not current. The license was granted 07/13/1976 and expired on 07/01/1975.

Idaho

Division of Occupational and Professional Licenses

DENNIS J. MOORE
Board Of Medicine
License number
M-3534
Date granted
07/13/1976
Date expires
07/01/1975
Class
Board Of Medicine
Status
Canceled
Address
3982 North 450 West Provo UT 84604
idaholicensing.com
ID 48359333
LAST UPDATED 2024-03-10 21:16:17 UTC

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