License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Fred T. Moore	MD		Verify Specialty Certification	,	KY

License Type	License Number	Status	License Date	Expiration Date
PMD	12429	Deceased	09/08/1980	06/30/1985

School	Date Completed	Nature of Training
Ohio State University College Of Medicine And Public Health	06/08/1962	Medical or Podiatric School

Name
No Current Supervision

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Revocation of License	01/12/1987	Final Order

No Malpractice Cases On Record

This data was retrieved on 4/20/2026.

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