ROSHEN MORENO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022429

License Status

EXPIRED

Business

First Name

ROSHEN

Last Name

MORENO

Suffix

Business Name

ROSHEN MORENO DO

Original Issue Date

05/16/1988

Effective Date

05/16/1988

Expiration Date

06/22/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006