KATHY LYNN BAGLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

KATHY

Middle

LYNN

Last Name

BAGLAN

Business Name

KATHY LYNN BAGLAN MD

Original Issue Date

02/02/2017

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63131

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2023