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Summary

DEMO Data with LLM

License Details

License Type

IDPR

Description

GENETIC COUNSELOR

License Number

246000016

License Status

ACTIVE

Business

N

First Name

KELLY

Last Name

MOYER

Business Name

KELLY MOYER

Original Issue Date

01/23/2008

Effective Date

12/05/2023

Expiration Date

01/31/2025

City

NAPERVILLE

State

IL

Zip

60540

County

DUPAGE

Specialty/Qualifier

None

Controlled Substance Schedule

None

Delegated Controlled Substance Schedule

None

Ever Disciplined

N

LastModifiedDate

12/05/2023

Case Number

None

Action

None

Discipline Start Date

None

Discipline End Date

None

Discipline Reason

None