GERALD MOSS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

CANCELLED

Business

First Name

GERALD

Last Name

MOSS

Suffix

Business Name

GERALD MOSS MD

Original Issue Date

07/25/1990

Effective Date

07/25/1990

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020