OMID G MOAYED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099252

License Status

ACTIVE

Business

First Name

OMID

Middle

Last Name

MOAYED

Suffix

Business Name

OMID G MOAYED MD

Original Issue Date

10/29/1998

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

POTOMAC

State

Zip

20854

Ever Disciplined

LastModifiedDate

05/15/2023

Case Number

2019006263

Action

Suspension

Discipline Start Date

09/13/2019

Discipline End Date

09/20/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/23/2019.