KENNETH K MOGHADAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124625

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

MOGHADAM

Suffix

Business Name

KENNETH K MOGHADAM MD

Original Issue Date

11/17/2009

Effective Date

06/15/2011

Expiration Date

07/31/2014

City

AUSTIN

State

Zip

78758

County

TEXAS

Ever Disciplined

LastModifiedDate

11/17/2014