S DAVID MOSS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074950

License Status

INACTIVE

Business

First Name

S DAVID

Last Name

MOSS

Suffix

Business Name

S DAVID MOSS MD

Original Issue Date

04/30/1987

Effective Date

04/30/1987

Expiration Date

07/31/1990

City

PHOENIX

State

Zip

85006

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006