JACK R BALDWIN MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004630

License Status

CANCELLED

Business

Business Name

JACK R BALDWIN MD SC

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

01/01/1985

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006