ROBERT A MORENO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020373

License Status

EXPIRED

Business

First Name

ROBERT A

Last Name

MORENO

Business Name

ROBERT A MORENO

Original Issue Date

10/23/1986

Effective Date

10/23/1986

Expiration Date

09/15/1989

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006