MICHAEL D MOEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

MICHAEL D

Last Name

MOEN

Suffix

Business Name

MICHAEL D MOEN MD

Original Issue Date

11/04/1991

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023