NAUSHAD PYARALI BANANI Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

NAUSHAD

Middle

PYARALI

Last Name

BANANI

Business Name

NAUSHAD PYARALI BANANI

Original Issue Date

05/04/2017

Effective Date

12/17/2018

Expiration Date

01/31/2021

City

RIVERSIDE

State

Zip

92507

County

WASHINGTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021