ZOHRA F MOEENUDDIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

ZOHRA

Middle

Last Name

MOEENUDDIN

Business Name

ZOHRA F MOEENUDDIN

Original Issue Date

05/02/2005

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023