TALIA E HAIDERZAD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087449

License Status

INACTIVE

Business

First Name

TALIA E

Last Name

HAIDERZAD

Suffix

Business Name

TALIA E HAIDERZAD MD

Original Issue Date

09/22/1993

Effective Date

09/22/1993

Expiration Date

07/31/1996

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/20/2018