ERIC W MOFFET MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075372

License Status

CANCELLED

Business

Title

First Name

ERIC

Middle

Last Name

MOFFET

Business Name

ERIC W MOFFET MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

01/31/2020