ALIREZA IZADARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046166

License Status

NOT RENEWED

Business

First Name

ALIREZA

Last Name

IZADARA

Suffix

Business Name

ALIREZA IZADARA MD

Original Issue Date

08/17/1972

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHEYENNE

State

Zip

82001

County

WYOMING

Ever Disciplined

LastModifiedDate

01/14/2021