JORDAN B MOSKOFF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

CANCELLED

Business

First Name

JORDAN

Middle

Last Name

MOSKOFF

Suffix

Business Name

JORDAN B MOSKOFF MD

Original Issue Date

08/13/2014

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023