JULIE ANN MORA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

ANN

Last Name

MORA

Suffix

Business Name

JULIE ANN MORA MD

Original Issue Date

03/08/2011

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

HOMETOWN

State

Zip

60456

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020