TANNAZ MARYAM SHIRAZI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032383

License Status

NOT RENEWED

Business

Title

DDS

First Name

TANNAZ

Middle

MARYAM

Last Name

SHIRAZI

Business Name

TANNAZ MARYAM SHIRAZI DDS

Original Issue Date

08/29/2019

Effective Date

08/29/2019

Expiration Date

01/31/2022

City

ALTOONA

State

Zip

50009

Ever Disciplined

LastModifiedDate

05/09/2022