SHAHED NICOLAS BADIYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145870

License Status

NOT RENEWED

Business

Title

First Name

SHAHED

Middle

NICOLAS

Last Name

BADIYAN

Business Name

SHAHED NICOLAS BADIYAN MD

Original Issue Date

04/27/2018

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023