GREGG DARIUS AZIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116689

License Status

NOT RENEWED

Business

First Name

GREGG

Middle

DARIUS

Last Name

AZIN

Suffix

Business Name

GREGG DARIUS AZIN MD

Original Issue Date

08/07/2006

Effective Date

08/07/2006

Expiration Date

07/31/2008

City

BEND

State

Zip

97701

Ever Disciplined

LastModifiedDate

05/28/2009