LISA MAE MOSCOSO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145150

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

MAE

Last Name

MOSCOSO

Business Name

LISA MAE MOSCOSO MD

Original Issue Date

02/20/2018

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

07/13/2023