SHAHRZAD SHAREGHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

Title

First Name

SHAHRZAD

Last Name

SHAREGHI

Business Name

SHAHRZAD SHAREGHI MD

Original Issue Date

09/16/2009

Effective Date

09/16/2009

Expiration Date

07/31/2011

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011