RICHARD L MOLDWIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082760

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

MOLDWIN

Suffix

Business Name

RICHARD L MOLDWIN MD

Original Issue Date

06/28/1991

Effective Date

05/01/2008

Expiration Date

07/31/2011

City

DEERFIELD

State

Zip

60015

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011