ROBERTA L MULDOON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

ROBERTA L

Last Name

MULDOON

Suffix

Business Name

ROBERTA L MULDOON MD

Original Issue Date

08/23/1991

Effective Date

08/23/1991

Expiration Date

07/31/1993

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006