FATIMA M MOGHADAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

FATIMA

Middle

Last Name

MOGHADAM

Suffix

Business Name

FATIMA M MOGHADAM MD

Original Issue Date

01/01/1997

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014