MICHAEL JOHN MOAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

MICHAEL JOHN

Last Name

MOAN

Suffix

Business Name

MICHAEL JOHN MOAN MD

Original Issue Date

10/17/1997

Effective Date

10/17/1997

Expiration Date

07/31/2002

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006