MANDANA FARHADIEH MORALES Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

MANDANA

Last Name

FARHADIEH MORALES

Business Name

MANDANA FARHADIEH MORALES

Original Issue Date

10/19/2000

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025