FATIMA M MOGHADAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057993

License Status

NOT RENEWED

Business

First Name

FATIMA

Middle

Last Name

MOGHADAM

Suffix

Business Name

FATIMA M MOGHADAM MD

Original Issue Date

10/23/1978

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014