BABAK MOVAGHAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

Title

DDS

First Name

BABAK

Last Name

MOVAGHAR

Business Name

BABAK MOVAGHAR DDS

Original Issue Date

12/30/2009

Effective Date

12/30/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60628

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012