ALIREZA IZADARA MD - Medical Doctor License in Wyoming | # 036046166

ALIREZA IZADARA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046166

License Status

NOT RENEWED

Business

N

First Name

ALIREZA

Last Name

IZADARA

Suffix

MD

Business Name

ALIREZA IZADARA MD

Original Issue Date

08/17/1972

Effective Date

04/11/2017

Expiration Date

09/30/2020

State

WY

Ever Disciplined

N

LastModifiedDate

01/14/2021