TALIA E HAIDERZAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

TALIA E

Last Name

HAIDERZAD

Suffix

Business Name

TALIA E HAIDERZAD MD

Original Issue Date

02/22/1994

Effective Date

02/22/1994

Expiration Date

07/31/1996

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006