MICHAEL-ALICE MOGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

MICHAEL-ALICE

Last Name

MOGA

Suffix

Business Name

MICHAEL-ALICE MOGA MD

Original Issue Date

05/07/2012

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017