THOMAS J MOSKALEWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

MOSKALEWICZ

Suffix

Business Name

THOMAS J MOSKALEWICZ MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

SPRING VALLEY

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006