LAVENA M MORGAN JAHANSHIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

LAVENA M

Last Name

MORGAN JAHANSHIR

Business Name

LAVENA M MORGAN JAHANSHIR MD

Original Issue Date

10/17/1997

Effective Date

10/17/1997

Expiration Date

07/31/1999

City

PORTLAND

State

Zip

97202

County

OREGON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/22/2020