ERIC S MOON DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****42

NOT RENEWED

N

ERIC

S

MOON

DO

ERIC S MOON DO

09/03/2013

07/14/2014

07/31/2017

CHICAGO

IL

60621

COOK

PRACTITIONER

II III IV V

N

04/05/2020