MICHAEL D MOEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023415

License Status

EXPIRED

Business

First Name

MICHAEL D

Last Name

MOEN

Suffix

Business Name

MICHAEL D MOEN MD

Original Issue Date

04/27/1989

Effective Date

04/27/1989

Expiration Date

07/01/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006