MITRA SAHEBAZAMANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

MITRA

Last Name

SAHEBAZAMANI

Business Name

MITRA SAHEBAZAMANI MD

Original Issue Date

08/11/2020

Effective Date

08/11/2020

Expiration Date

07/31/2023

City

RED BUD

State

Zip

62278

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023