License holder summary

Richard Edwin Moose is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Richard Edwin Moose is 190 Outer Main St, Suite 103, Potsdam, NY 13676. This doctor license is current. The license was granted 07/16/1994 and expired on 02/29/2000.

Department of Safety and Professional Services

Board of Medical Practice

Richard Edwin Moose
Medical - Physician And Surgeon
License number
37186
Date granted
07/16/1994
Date expires
02/29/2000
Class
Medical - Physician And Surgeon
Status
Active
Address
190 Outer Main St, Suite 103, Potsdam, NY 13676
doctorsminnesota.org
ID 22262722
LAST UPDATED 2026-04-08 05:03:36 UTC

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