BASIL MOSKOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

BASIL

Last Name

MOSKOFF

Suffix

Business Name

BASIL MOSKOFF MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

ZEIGLER

State

Zip

62999

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006