TAHIRA F MIRZA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119777

License Status

NOT RENEWED

Business

First Name

TAHIRA

Middle

Last Name

MIRZA

Business Name

TAHIRA F MIRZA

Original Issue Date

12/04/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

HARTFORD

State

Zip

06103

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/14/2011