SAMIRALY MOOSA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

SAMIRALY

Last Name

MOOSA

Business Name

SAMIRALY MOOSA

Original Issue Date

07/16/2020

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023