RICHARD MARC MOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122337

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

MARC

Last Name

MOSS

Suffix

Business Name

RICHARD MARC MOSS MD

Original Issue Date

12/15/2008

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

JASPER

State

Zip

47546

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014