The holder whose full name is MOORE, GENE DOUGLAS,come from WEST MONROE LA,hold the Physician license(NO.01020958A) which status is Expired Non-Renewable.
| Name | MOORE, GENE DOUGLAS |
|---|---|
| License Number | 01020958A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | WEST MONROE |
| State | LA |