SALVATORE M MOFFA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033751

License Status

EXPIRED

Business

First Name

SALVATORE M

Last Name

MOFFA

Suffix

Business Name

SALVATORE M MOFFA MD

Original Issue Date

07/05/1995

Effective Date

07/05/1995

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Thoracic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006