SCOTT D M MOON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026914

License Status

EXPIRED

Business

Title

First Name

SCOTT D

Middle

Last Name

MOON

Business Name

SCOTT D M MOON MD

Original Issue Date

05/23/1991

Effective Date

05/23/1991

Expiration Date

06/23/1993

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006