C N V MOOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051724

License Status

NOT RENEWED

Business

First Name

C N V

Last Name

MOOSS

Suffix

Business Name

C N V MOOSS MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/2005

City

KNOXVILE

State

Zip

37922

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/09/2006