NICHOLAS GREGORY BAUR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

GREGORY

Last Name

BAUR

Business Name

NICHOLAS GREGORY BAUR DO

Original Issue Date

05/30/2025

Effective Date

05/30/2025

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/30/2025