ROBERTO ANTONIO MORAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154290

License Status

NOT RENEWED

Business

Title

First Name

ROBERTO

Middle

ANTONIO

Last Name

MORAN

Business Name

ROBERTO ANTONIO MORAN MD

Original Issue Date

09/16/2020

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023