DARRYL G MOFFETT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081612

License Status

NOT RENEWED

Business

First Name

DARRYL G

Last Name

MOFFETT JR

Suffix

Business Name

DARRYL G MOFFETT JR MD

Original Issue Date

10/10/1990

Effective Date

10/10/1990

Expiration Date

07/31/1993

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006