SEAN MOGHADAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

Title

DDS

First Name

SEAN

Last Name

MOGHADAM

Business Name

SEAN MOGHADAM DDS

Original Issue Date

03/31/2023

Effective Date

07/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2024