JASON L MOSHIER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111838

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

MOSHIER

Business Name

JASON L MOSHIER

Original Issue Date

07/13/2004

Effective Date

07/13/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006