BERTRAM BERNARD MOSS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026460

License Status

INACTIVE

Business

First Name

BERTRAM BERNARD

Last Name

MOSS

Suffix

Business Name

BERTRAM BERNARD MOSS MD

Original Issue Date

11/14/1945

Effective Date

11/14/1945

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006