GEORGE GAW MORAN JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

CANCELLED

Business

First Name

GEORGE GAW

Last Name

MORAN JR

Suffix

Business Name

GEORGE GAW MORAN JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020