DAVID MORENO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104699

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

MORENO

Suffix

Business Name

DAVID MORENO MD

Original Issue Date

05/14/2001

Effective Date

05/14/2001

Expiration Date

07/31/2005

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/09/2006