MASSOOD MOLAVI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

MASSOOD

Last Name

MOLAVI

Business Name

MASSOOD MOLAVI MD

Original Issue Date

07/02/2015

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

EAST GALESBURG

State

Zip

61430

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023