GENE RICHARD MOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041380

License Status

NOT RENEWED

Business

First Name

GENE RICHARD

Last Name

MOSS

Suffix

Business Name

GENE RICHARD MOSS MD

Original Issue Date

08/29/1967

Effective Date

08/29/1967

City

PACIFIC PAUSADES

State

Zip

90272

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

02/23/2007