ZEB A MIRZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

ZEB A

Last Name

MIRZA

Suffix

Business Name

ZEB A MIRZA MD

Original Issue Date

12/26/1986

Effective Date

12/26/1986

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011