KEVIN V MOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078672

License Status

NOT RENEWED

Business

First Name

KEVIN V

Last Name

MOSS

Suffix

Business Name

KEVIN V MOSS MD

Original Issue Date

04/05/1989

Effective Date

04/05/1989

Expiration Date

07/31/1993

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006