WILLIAM J MOFFETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

Last Name

MOFFETT

Business Name

WILLIAM J MOFFETT MD

Original Issue Date

09/17/1990

Effective Date

09/17/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60624

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006