MARK C BAYLOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

MARK C

Last Name

BAYLOR

Suffix

Business Name

MARK C BAYLOR MD

Original Issue Date

01/23/2004

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

GLASFORD

State

Zip

61533

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023