WALTER PAUL BAISIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039690

License Status

NOT RENEWED

Business

First Name

WALTER PAUL

Last Name

BAISIER

Suffix

Business Name

WALTER PAUL BAISIER MD

Original Issue Date

05/25/1965

Effective Date

05/25/1965

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006