TODD CHRISTOPHER MOEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048937

License Status

EXPIRED

Business

First Name

TODD

Middle

CHRISTOPHER

Last Name

MOEN

Suffix

Business Name

TODD CHRISTOPHER MOEN MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

06/24/2010