BARON THAXTON MULLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169029

License Status

ACTIVE

Business

Title

First Name

BARON

Middle

THAXTON

Last Name

MULLIS

Business Name

BARON THAXTON MULLIS MD

Original Issue Date

02/29/2024

Effective Date

02/29/2024

Expiration Date

07/31/2026

City

WATKINSVILLE

State

Zip

30677

Ever Disciplined

LastModifiedDate

02/29/2024