ROBERT A MORENO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

MORENO

Business Name

ROBERT A MORENO

Original Issue Date

12/22/1988

Effective Date

12/22/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006