LIZA A DAFCHAHI SHIRANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

LIZA

Middle

A DAFCHAHI

Last Name

SHIRANI

Business Name

LIZA A DAFCHAHI SHIRANI MD

Original Issue Date

11/08/2024

Effective Date

11/08/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2024