IMAD MOIDUDDIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

IMAD

Last Name

MOIDUDDIN

Business Name

IMAD MOIDUDDIN MD

Original Issue Date

04/06/2020

Effective Date

04/06/2020

Expiration Date

07/31/2023

City

ALGONQUIN

State

Zip

60102

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023