DAVID MORENO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

MORENO

Suffix

Business Name

DAVID MORENO MD

Original Issue Date

06/29/2001

Effective Date

06/29/2001

Expiration Date

07/31/2005

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006