JEAN ELIZABETH MOFFAT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038920

License Status

INACTIVE

Business

First Name

JEAN ELIZABETH

Last Name

MOFFAT

Suffix

Business Name

JEAN ELIZABETH MOFFAT MD

Original Issue Date

02/14/1964

Effective Date

02/14/1964

Expiration Date

07/31/1993

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

09/20/2006