MEHRDAD MOGHADDARI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

MEHRDAD

Last Name

MOGHADDARI

Suffix

DDS

Business Name

MEHRDAD MOGHADDARI DDS

Original Issue Date

02/07/1994

Effective Date

02/07/1994

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005