MANOUCHEHR DAFTARIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045188

License Status

NOT RENEWED

Business

First Name

MANOUCHEHR

Last Name

DAFTARIAN

Suffix

Business Name

MANOUCHEHR DAFTARIAN MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

City

TEMPE

State

Zip

85282

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006