NICOLE DOROTHY MOSES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050927

License Status

EXPIRED

Business

First Name

NICOLE

Middle

DOROTHY

Last Name

MOSES

Suffix

Business Name

NICOLE DOROTHY MOSES MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009