DAVID W MOSKOWITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

DAVID W

Last Name

MOSKOWITZ

Suffix

Business Name

DAVID W MOSKOWITZ MD

Original Issue Date

05/11/1995

Effective Date

05/11/1995

Expiration Date

07/31/1999

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006