MARK E MORAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

MORAN

Business Name

MARK E MORAN MD

Original Issue Date

08/16/1994

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014