NICOLE DOROTHY MOSES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

DOROTHY

Last Name

MOSES

Suffix

Business Name

NICOLE DOROTHY MOSES MD

Original Issue Date

08/05/2008

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017