FARNAZ MOAZZAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101798

License Status

ACTIVE

Business

First Name

FARNAZ

Last Name

MOAZZAM

Business Name

FARNAZ MOAZZAM

Original Issue Date

01/11/2000

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/15/2023