License holder summary

MOORE, WISTAR, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MOORE, WISTAR, MD is 3119 STONEWATER DR, Lakeland 33803. This doctor license is not current. The license was granted 08/09/1990 and expired on 12/31/1995.

Georgia

Composite Medical Board

MOORE, WISTAR, MD
Medical - Physician
License number
033409
Date granted
08/09/1990
Date expires
12/31/1995
Class
Medical - Physician
Status
Inactive
Address
3119 STONEWATER DR
georgiadoctors.net
ID 38066687
LAST UPDATED 2024-04-18 21:04:19 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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