FARRIDAH SHAFIEE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107545

License Status

NOT RENEWED

Business

First Name

FARRIDAH

Last Name

SHAFIEE

Suffix

Business Name

FARRIDAH SHAFIEE DO

Original Issue Date

07/26/2002

Effective Date

07/26/2002

Expiration Date

07/31/2005

City

WEST NEW YORK

State

Zip

07093

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/09/2006