SHAKIR MOIDUDDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

SHAKIR

Last Name

MOIDUDDIN

Suffix

Business Name

SHAKIR MOIDUDDIN MD

Original Issue Date

01/01/1997

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023