RICHARD A BAYLOR JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

CANCELLED

Business

First Name

RICHARD A

Last Name

BAYLOR JR

Suffix

Business Name

RICHARD A BAYLOR JR MD

Original Issue Date

01/01/1997

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017