SARFRAZ AHMAD MIRZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

SARFRAZ

Middle

AHMAD

Last Name

MIRZA

Suffix

Business Name

SARFRAZ AHMAD MIRZA MD

Original Issue Date

02/29/2000

Effective Date

02/29/2000

Expiration Date

07/31/2002

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006