BRIDGET ROSHUN MOSS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118856

License Status

NOT RENEWED

Business

First Name

BRIDGET

Middle

ROSHUN

Last Name

MOSS

Suffix

Business Name

BRIDGET ROSHUN MOSS DO

Original Issue Date

06/29/2007

Effective Date

06/29/2007

Expiration Date

07/31/2008

City

MILWAUKEE

State

Zip

53209

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/06/2008