GREGORY KENNETH MOEN DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009045

License Status

INACTIVE

Business

First Name

GREGORY

Middle

KENNETH

Last Name

MOEN

Suffix

Business Name

GREGORY KENNETH MOEN DC

Original Issue Date

04/04/2000

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

MILWAUKEE

State

Zip

53220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/08/2014