License holder summary

Grant Kenneth Moore is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Grant Kenneth Moore is Ear, Nose, & Throat Surgeons of Western New Englan, 100 Wason Avenue, Suite 100, Springfield 01107. This licensed professional license is current. The license was granted 02/21/1990 and expired on 07/24/2017.

Massachusetts

Division of Professional Licensure

Grant Kenneth Moore
Board Of Registration In Medicine
License number
72182
Date granted
02/21/1990
Date expires
07/24/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Ear, Nose, & Throat Surgeons of Western New Englan, 100 Wason Avenue, Suite 100
licensingma.org
ID 41458337
LAST UPDATED 2024-03-08 14:33:21 UTC

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