MATTHEW ROBERT MORAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

ROBERT

Last Name

MORAN

Business Name

MATTHEW ROBERT MORAN MD

Original Issue Date

09/04/2024

Effective Date

09/04/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024