CARL WILLIAM MOELLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051304

License Status

EXPIRED

Business

First Name

CARL

Middle

WILLIAM

Last Name

MOELLER

Suffix

Business Name

CARL WILLIAM MOELLER MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

07/15/2009