ALIREZA IZADARA MD - Medical Doctor License in Wyoming | # 33*****06

ALIREZA IZADARA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

N

First Name

ALIREZA

Last Name

IZADARA

Suffix

MD

Business Name

ALIREZA IZADARA MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

State

WY

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/05/2020