MICHAEL J MOSKAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

MOSKAL

Suffix

Business Name

MICHAEL J MOSKAL MD

Original Issue Date

06/11/1996

Effective Date

06/11/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

09/26/2006