MARK E BAXTER 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

MARK E

Last Name

BAXTER

Business Name

MARK E BAXTER

Original Issue Date

10/22/1991

Effective Date

10/22/1991

Expiration Date

07/31/1993

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006