BIJAN MOAZEZI MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272201

License Status

NOT RENEWED

Business

Title

First Name

BIJAN

Last Name

MOAZEZI

Business Name

BIJAN MOAZEZI MD

Original Issue Date

04/02/2020

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

PARK RIDGE

State

Zip

60068

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022