JOHN GABRYEL MORENO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056253

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

GABRYEL

Last Name

MORENO

Business Name

JOHN GABRYEL MORENO DO

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

10/07/2013