SHABIH MANZAR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****13

NOT RENEWED

N

SHABIH

MANZAR

MD

SHABIH MANZAR MD

05/18/2005

05/30/2014

07/31/2017

ALEXANDRIA

LA

71303

LOUISIANA

II III IV V

N

04/05/2020