REBECCA MILLER BAGGETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

REBECCA

Middle

MILLER

Last Name

BAGGETT

Business Name

REBECCA MILLER BAGGETT MD

Original Issue Date

06/20/2014

Effective Date

06/20/2014

Expiration Date

07/31/2017

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020