PIRASTEH SHAFE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

PIRASTEH

Last Name

SHAFE

Suffix

Business Name

PIRASTEH SHAFE MD

Original Issue Date

12/26/1985

Effective Date

12/26/1985

Expiration Date

07/31/1987

City

WARRENTON

State

Zip

63383

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006