SUSAN L BAUMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

SUSAN

Middle

Last Name

BAUMER

Business Name

SUSAN L BAUMER MD

Original Issue Date

05/12/2014

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017