DOUGLAS W BAUGHMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

DOUGLAS W

Last Name

BAUGHMAN

Suffix

DMD

Business Name

DOUGLAS W BAUGHMAN DMD

Original Issue Date

08/22/1991

Effective Date

08/22/1991

Expiration Date

09/30/2000

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005