RICHARD G BACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

RICHARD G

Last Name

BACH

Suffix

Business Name

RICHARD G BACH MD

Original Issue Date

09/20/1996

Effective Date

09/20/1996

Expiration Date

07/31/2002

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006