JACOB MOISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

MOISE

Suffix

Business Name

JACOB MOISE MD

Original Issue Date

08/21/2014

Effective Date

08/21/2014

Expiration Date

07/31/2017

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020