MICHAEL-ALICE MOGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130272

License Status

NOT RENEWED

Business

First Name

MICHAEL-ALICE

Last Name

MOGA

Suffix

Business Name

MICHAEL-ALICE MOGA MD

Original Issue Date

05/07/2012

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017