NANI PHILLIPS MOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148810

License Status

NOT RENEWED

Business

Title

First Name

NANI

Middle

PHILLIPS

Last Name

MOSS

Business Name

NANI PHILLIPS MOSS MD

Original Issue Date

03/27/2019

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023