License holder summary

THEDA K MOORE is a Medical Board - 33.Lmt L M Group licensed to practice in Ohio. The address on file for THEDA K MOORE is 5703 TWP RD 55, BELLEFONTAINE, OH 43311. This licensed professional license is not current. The license was granted 07/13/1990 and expired on 08/31/2005.

Ohio

Board of Licensing

THEDA K MOORE
Medical Board - 33.Lmt L M Group
License number
33.005308-L-M
Date granted
07/13/1990
Date expires
08/31/2005
Class
Medical Board - 33.Lmt L M Group
Status
Inactive
Address
5703 TWP RD 55, BELLEFONTAINE, OH 43311
ohiolicensing.org
ID 28508823
LAST UPDATED 2024-02-24 13:03:11 UTC

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