MOSHE WALD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047105

License Status

EXPIRED

Business

First Name

MOSHE

Last Name

WALD

Suffix

Business Name

MOSHE WALD MD

Original Issue Date

09/17/2003

Effective Date

09/17/2003

Expiration Date

09/16/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology/Andrology

Ever Disciplined

LastModifiedDate

09/22/2006