R LAWRENCE MOSS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082687

License Status

NOT RENEWED

Business

First Name

R LAWRENCE

Last Name

MOSS

Business Name

R LAWRENCE MOSS

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/04/2010