JENNIFER B MORAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

MORAN

Suffix

Business Name

JENNIFER B MORAN MD

Original Issue Date

09/07/1999

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

MEDINAH

State

Zip

60157

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017