JAMES W BAUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

JAMES W

Last Name

BAUER

Suffix

Business Name

JAMES W BAUER MD

Original Issue Date

01/01/1997

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023