S HURN BAEK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

S HURN

Last Name

BAEK

Business Name

S HURN BAEK

Original Issue Date

04/08/1999

Effective Date

04/08/1999

Expiration Date

07/31/2005

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020