SHAFAGH MOTTAGHIAN MONAZZAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145247

License Status

NOT RENEWED

Business

Title

First Name

SHAFAGH

Middle

MOTTAGHIAN

Last Name

MONAZZAM

Business Name

SHAFAGH MOTTAGHIAN MONAZZAM MD

Original Issue Date

03/05/2018

Effective Date

03/05/2018

Expiration Date

09/30/2020

City

SACRAMENTO

State

Zip

95817

Ever Disciplined

LastModifiedDate

01/14/2021