BONNIE C MOSKOWITZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

BONNIE

Middle

Last Name

MOSKOWITZ

Business Name

BONNIE C MOSKOWITZ

Original Issue Date

06/18/2004

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

WESTPORT

State

Zip

06880

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023