CONNIE E MORELAND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

CONNIE

Middle

Last Name

MORELAND

Suffix

Business Name

CONNIE E MORELAND MD

Original Issue Date

07/07/1997

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023