FARHAJ MIRZA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

Title

DMD

First Name

FARHAJ

Last Name

MIRZA

Business Name

FARHAJ MIRZA DMD

Original Issue Date

03/18/2016

Effective Date

03/18/2016

Expiration Date

09/30/2018

City

DEER PARK

State

Zip

11729

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018