TIMOTHY FRANCIS MORAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

TIMOTHY FRANCIS

Last Name

MORAN JR

Suffix

Business Name

TIMOTHY FRANCIS MORAN JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006