DOUGLAS W BAUGHMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

DOUGLAS W

Last Name

BAUGHMAN

Suffix

DMD

Business Name

DOUGLAS W BAUGHMAN DMD

Original Issue Date

10/11/1990

Effective Date

10/11/1990

Expiration Date

09/30/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005