MITRA SAHEBAZAMANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153987

License Status

NOT RENEWED

Business

Title

First Name

MITRA

Last Name

SAHEBAZAMANI

Business Name

MITRA SAHEBAZAMANI MD

Original Issue Date

08/10/2020

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

11/30/2023