MANZOOR A TARIQ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077402

License Status

NOT RENEWED

Business

First Name

MANZOOR

Middle

Last Name

TARIQ

Suffix

Business Name

MANZOOR A TARIQ MD

Original Issue Date

07/20/1988

Effective Date

08/09/2017

Expiration Date

09/30/2020

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/14/2021