HEIDI G MOAWAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

Last Name

MOAWAD

Business Name

HEIDI G MOAWAD

Original Issue Date

05/25/1999

Effective Date

05/25/1999

Expiration Date

07/31/2002

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006