MOSHE DISSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149851

License Status

ACTIVE

Business

Title

First Name

MOSHE

Last Name

DISSEN

Business Name

MOSHE DISSEN MD

Original Issue Date

06/20/2019

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023