MUSTAFA MOAZAM M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177866

License Status

ACTIVE

Business

Title

M.D.

First Name

MUSTAFA

Last Name

MOAZAM

Business Name

MUSTAFA MOAZAM M.D.

Original Issue Date

11/12/2025

Effective Date

11/12/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60804

Ever Disciplined

LastModifiedDate

11/12/2025