JACK SAMUEL MOSKOWITZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130041

License Status

NOT RENEWED

Business

Title

First Name

JACK

Middle

SAMUEL

Last Name

MOSKOWITZ

Business Name

JACK SAMUEL MOSKOWITZ DO

Original Issue Date

04/11/2012

Effective Date

04/11/2012

Expiration Date

07/31/2014

City

WESTERVILLE

State

Zip

43082

County

OHIO

Ever Disciplined

LastModifiedDate

11/17/2014