HABEEBA MOIDUDDIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

HABEEBA

Last Name

MOIDUDDIN

Business Name

HABEEBA MOIDUDDIN

Original Issue Date

12/05/1984

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023