DAVID CHRISTOPHE BAEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

DAVID CHRISTOPHE

Last Name

BAEZ

Suffix

Business Name

DAVID CHRISTOPHE BAEZ MD

Original Issue Date

04/16/1984

Effective Date

04/16/1984

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008