KATHLEEN H MOE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020998

License Status

EXPIRED

Business

First Name

KATHLEEN

Middle

Last Name

MOE

Suffix

Business Name

KATHLEEN H MOE MD

Original Issue Date

05/26/1987

Effective Date

05/26/1987

Expiration Date

07/01/1990

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006