ISAAC LOUIS MOSS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

CANCELLED

Business

Title

First Name

ISAAC

Middle

LOUIS

Last Name

MOSS

Business Name

ISAAC LOUIS MOSS MD

Original Issue Date

02/17/2010

Effective Date

02/17/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011