LAURA GRUEN MOSHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

GRUEN

Last Name

MOSHER

Suffix

Business Name

LAURA GRUEN MOSHER MD

Original Issue Date

06/09/2010

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017