MUSTAFA MOAZAM M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

M.D.

First Name

MUSTAFA

Last Name

MOAZAM

Business Name

MUSTAFA MOAZAM M.D.

Original Issue Date

03/18/2026

Effective Date

03/18/2026

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60804

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026