ERIC A BADDOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

ERIC A

Last Name

BADDOUR

Suffix

Business Name

ERIC A BADDOUR MD

Original Issue Date

04/13/1984

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014