KIRK DAVID MOBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024620

License Status

EXPIRED

Business

First Name

KIRK DAVID

Last Name

MOBERG

Suffix

Business Name

KIRK DAVID MOBERG MD

Original Issue Date

03/16/1990

Effective Date

03/16/1990

Expiration Date

04/02/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006