RICHARD L MOLDWIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022325

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

MOLDWIN

Suffix

Business Name

RICHARD L MOLDWIN MD

Original Issue Date

05/13/1988

Effective Date

05/13/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006