JACOB MOISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

MOISE

Suffix

Business Name

JACOB MOISE MD

Original Issue Date

09/08/1981

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020