SARAH NASTARAN PAYBERAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

SARAH NASTARAN

Last Name

PAYBERAH

Business Name

SARAH NASTARAN PAYBERAH

Original Issue Date

09/12/1994

Effective Date

09/12/1994

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006