MOIRA TERESE PRUETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017008

License Status

EXPIRED

Business

First Name

MOIRA

Middle

TERESE

Last Name

PRUETT

Suffix

Business Name

MOIRA TERESE PRUETT MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

07/01/1986

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2012