TIMOTHY A MOSES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020114

License Status

EXPIRED

Business

First Name

TIMOTHY A

Last Name

MOSES

Suffix

Business Name

TIMOTHY A MOSES MD

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

07/01/1989

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006