MARK C BAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

MARK C

Last Name

BAYLOR

Suffix

Business Name

MARK C BAYLOR MD

Original Issue Date

10/25/1984

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

FARMINGTON

State

Zip

61531

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020