SHAHRZAD VAZIRZADEH PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001788

License Status

NOT RENEWED

Business

First Name

SHAHRZAD

Last Name

VAZIRZADEH

Suffix

PA-C

Business Name

SHAHRZAD VAZIRZADEH PA-C

Original Issue Date

03/26/2002

Effective Date

03/26/2002

Expiration Date

03/01/2004

City

GROSSE POINTE

State

Zip

48230

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006