KEVEN TAGDIRI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076224

License Status

NOT RENEWED

Business

First Name

KEVEN

Last Name

TAGDIRI

Business Name

KEVEN TAGDIRI

Original Issue Date

10/21/1987

Effective Date

10/21/1987

Expiration Date

07/31/1990

City

BAYSIDE

State

Zip

11361

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006