L R ROBERTO MOSCOSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

L R ROBERTO

Last Name

MOSCOSO

Suffix

Business Name

L R ROBERTO MOSCOSO MD

Original Issue Date

10/30/1984

Effective Date

10/30/1984

Expiration Date

07/31/1990

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006