LUCILE MARIE MORIARTY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038221

License Status

NOT RENEWED

Business

First Name

LUCILE MARIE

Last Name

MORIARTY

Suffix

Business Name

LUCILE MARIE MORIARTY DO

Original Issue Date

11/30/1962

Effective Date

11/30/1962

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/20/2006