FREDERICK M MOSHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042182

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

Last Name

MOSHER

Suffix

Business Name

FREDERICK M MOSHER MD

Original Issue Date

10/23/1968

Effective Date

10/23/1968

Expiration Date

07/31/2002

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/09/2006