ISAAC NAZRI MITRE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042661

License Status

NOT RENEWED

Business

First Name

ISAAC NAZRI

Last Name

MITRE

Suffix

Business Name

ISAAC NAZRI MITRE MD

Original Issue Date

07/11/1969

Effective Date

07/11/1969

Expiration Date

07/31/1990

City

TERRE HAUTE

State

Zip

47804

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006