LEAH MOOSHIL DURST Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

LEAH

Middle

MOOSHIL

Last Name

DURST

Business Name

LEAH MOOSHIL DURST

Original Issue Date

07/15/1999

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023