MADELINE THERESE MORIARTY 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

MADELINE THERESE

Last Name

MORIARTY

Suffix

Business Name

MADELINE THERESE MORIARTY MD

Original Issue Date

08/16/1994

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023