License holder summary

Maryam Lee Moghaddam is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Maryam Lee Moghaddam is 14500 99th Avenue North, Maple Grove, MN 55369. This doctor license is current. The license was granted 03/12/1988 and expired on 04/30/2015.

Department of Safety and Professional Services

Board of Medical Practice

Maryam Lee Moghaddam
Medical - Physician And Surgeon
License number
31579
Date granted
03/12/1988
Date expires
04/30/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
14500 99th Avenue North, Maple Grove, MN 55369
doctorsminnesota.org
ID 22262163
LAST UPDATED 2024-05-03 18:35:50 UTC

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