ROHAM KASHANIMOGHADDAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

Title

DDS

First Name

ROHAM

Last Name

KASHANIMOGHADDAM

Business Name

ROHAM KASHANIMOGHADDAM DDS

Original Issue Date

08/28/2023

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2024