ROBERT G MOULT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075995

License Status

NOT RENEWED

Business

First Name

ROBERT G

Last Name

MOULT

Business Name

ROBERT G MOULT

Original Issue Date

09/19/1987

Effective Date

09/19/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006