MOEIN BAYAT MOKHTARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

MOEIN

Last Name

BAYAT MOKHTARI

Business Name

MOEIN BAYAT MOKHTARI MD

Original Issue Date

05/15/2025

Effective Date

05/15/2025

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2025