MARYAM MOGHADAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025838

License Status

NOT RENEWED

Business

First Name

MARYAM

Last Name

MOGHADAM

Business Name

MARYAM MOGHADAM

Original Issue Date

06/05/2002

Effective Date

10/01/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025