HART BEAMAN MOSS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055073

License Status

EXPIRED

Business

First Name

HART

Middle

BEAMAN

Last Name

MOSS

Business Name

HART BEAMAN MOSS

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2009

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/15/2009