Idaho
Division of Occupational and Professional Licenses
JUSTIN EARL MOORE
Board Of Medicine
License number
MSM-0678
Date granted
06/27/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
6907 23RD AVE SW SEATTLE WA 98106
idaholicensing.com
ID 48359348
LAST UPDATED 2026-05-31 13:15:54 UTC
LAST UPDATED 2026-05-31 13:15:54 UTC
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