JACQUELINE V MORAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

MORAN

Business Name

JACQUELINE V MORAN

Original Issue Date

03/20/2000

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023