MICHAEL D MOEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083401

License Status

ACTIVE

Business

First Name

MICHAEL D

Last Name

MOEN

Suffix

Business Name

MICHAEL D MOEN MD

Original Issue Date

09/05/1991

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2023