WILLIAM J MOFFETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

Last Name

MOFFETT

Business Name

WILLIAM J MOFFETT MD

Original Issue Date

11/30/1981

Effective Date

11/30/1981

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008