MICHAEL S MORENO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019209

License Status

EXPIRED

Business

First Name

MICHAEL S

Last Name

MORENO

Suffix

Business Name

MICHAEL S MORENO MD

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006