KIARASH L MIRKIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

KIARASH

Middle

Last Name

MIRKIA

Suffix

Business Name

KIARASH L MIRKIA MD

Original Issue Date

10/06/2003

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

LAS VEGAS

State

Zip

89118

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021