LISA MAE MOSCOSO MD - Medical Doctor License in Missouri | # 036145150

LISA MAE MOSCOSO MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145150

License Status

ACTIVE

Business

N

Title

MD

First Name

LISA

Middle

MAE

Last Name

MOSCOSO

Business Name

LISA MAE MOSCOSO MD

Original Issue Date

02/20/2018

Effective Date

07/13/2023

Expiration Date

07/31/2026

State

MO

Ever Disciplined

N

LastModifiedDate

07/13/2023