ROBERT BLACK MOORHEAD DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008460

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

BLACK

Last Name

MOORHEAD

Suffix

Business Name

ROBERT BLACK MOORHEAD DC

Original Issue Date

04/27/1998

Effective Date

04/27/1998

Expiration Date

07/31/2008

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/11/2007

Case Number

2006003693

Action

Suspension

Discipline Start Date

10/11/2007

Discipline Reason

for failure to complete required continuing medical education and for misrepresenting this fact on a 2005 renewal application.