TIMOTHY J MORAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

TIMOTHY J

Last Name

MORAN

Suffix

Business Name

TIMOTHY J MORAN MD

Original Issue Date

05/23/1988

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

BOURBONNNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023