ISTA ARIANE EGBETO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

ISTA

Middle

ARIANE

Last Name

EGBETO

Business Name

ISTA ARIANE EGBETO MD

Original Issue Date

04/30/2025

Effective Date

04/30/2025

Expiration Date

07/31/2026

City

LUTHERVILLE TIMONIUM

State

Zip

21093

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2025