JORDAN B MOSKOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

Last Name

MOSKOFF

Suffix

Business Name

JORDAN B MOSKOFF MD

Original Issue Date

02/07/2005

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60644

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020