ISAAC LOUIS MOSS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124953

License Status

INACTIVE

Business

Title

First Name

ISAAC

Middle

LOUIS

Last Name

MOSS

Business Name

ISAAC LOUIS MOSS MD

Original Issue Date

02/09/2010

Effective Date

02/09/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011