DEBRA BOOTON BAILEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

DEBRA

Last Name

BOOTON BAILEY

Suffix

Business Name

DEBRA BOOTON BAILEY MD

Original Issue Date

09/27/1988

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023