GOLROKH SHARIPIRAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

GOLROKH

Last Name

SHARIPIRAD

Business Name

GOLROKH SHARIPIRAD

Original Issue Date

08/06/1996

Effective Date

08/06/1996

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006