PIRASTEH SHAFE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072019

License Status

INACTIVE

Business

First Name

PIRASTEH

Last Name

SHAFE

Suffix

Business Name

PIRASTEH SHAFE MD

Original Issue Date

11/22/1985

Effective Date

11/22/1985

Expiration Date

07/31/1987

City

WARRENTON

State

Zip

63383

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006