MOAVIZ BIN BADSHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

MOAVIZ

Middle

BIN

Last Name

BADSHAH

Business Name

MOAVIZ BIN BADSHAH MD

Original Issue Date

05/21/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023