DAN B MIRZA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073428

License Status

NOT RENEWED

Business

First Name

DAN B

Last Name

MIRZA

Business Name

DAN B MIRZA

Original Issue Date

08/08/1986

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

MESA

State

Zip

85209

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/01/2017