RUTHEVA MOORE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

RUTHEVA

Last Name

MOORE

Business Name

RUTHEVA MOORE

Original Issue Date

01/01/1997

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011