KIUMARS MOGHADAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

KIUMARS

Last Name

MOGHADAM

Suffix

Business Name

KIUMARS MOGHADAM MD

Original Issue Date

08/06/2008

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023