MINA FAZLI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092384

License Status

INACTIVE

Business

First Name

MINA

Last Name

FAZLI

Suffix

Business Name

MINA FAZLI MD

Original Issue Date

02/03/1996

Effective Date

02/03/1996

Expiration Date

07/31/1999

City

WHITEHALL

State

Zip

18052

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006