ZIYA BAGHMANLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

ZIYA

Last Name

BAGHMANLI

Business Name

ZIYA BAGHMANLI MD

Original Issue Date

06/06/2017

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

RED BUD

State

Zip

62278

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023