REBECCA MILLER BAGGETT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054792

License Status

CANCELLED

Business

Title

First Name

REBECCA

Middle

MILLER

Last Name

BAGGETT

Business Name

REBECCA MILLER BAGGETT MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/06/2011