GREGORY D MOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047502

License Status

NOT RENEWED

Business

First Name

GREGORY D

Last Name

MOSS

Suffix

Business Name

GREGORY D MOSS MD

Original Issue Date

06/28/1973

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017