CHELSEA ROSE MOORE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

CHELSEA

Middle

ROSE

Last Name

MOORE

Business Name

CHELSEA ROSE MOORE

Original Issue Date

05/26/2020

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023