GERALD MOSS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043571

License Status

INACTIVE

Business

First Name

GERALD

Last Name

MOSS

Suffix

Business Name

GERALD MOSS MD

Original Issue Date

07/13/1970

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

04/05/2020