DARRYL G MOFFETT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023022

License Status

EXPIRED

Business

First Name

DARRYL

Middle

Last Name

MOFFETT

Business Name

DARRYL G MOFFETT

Original Issue Date

07/12/1988

Effective Date

07/12/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006