BASIL MOSKOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032862

License Status

NOT RENEWED

Business

First Name

BASIL

Last Name

MOSKOFF

Suffix

Business Name

BASIL MOSKOFF MD

Original Issue Date

09/17/1954

Effective Date

09/17/1954

Expiration Date

07/31/2005

City

ZEIGLER

State

Zip

62999

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/09/2006