DANIEL MARK MOSELEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

MARK

Last Name

MOSELEY

Business Name

DANIEL MARK MOSELEY MD

Original Issue Date

07/15/2011

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020