GOLBARG MOADDAB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

GOLBARG

Last Name

MOADDAB

Suffix

Business Name

GOLBARG MOADDAB MD

Original Issue Date

08/18/2009

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023