LORI E MOSS 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

Title

First Name

LORI

Middle

Last Name

MOSS

Business Name

LORI E MOSS MD

Original Issue Date

01/11/1991

Effective Date

01/11/1991

Expiration Date

07/31/1993

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020