SALVATORE M MOFFA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

CANCELLED

Business

First Name

SALVATORE M

Last Name

MOFFA

Suffix

Business Name

SALVATORE M MOFFA MD

Original Issue Date

06/29/1997

Effective Date

06/29/1997

Expiration Date

07/31/2002

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006