PATRICIA IRENE BADER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

PATRICIA

Middle

IRENE

Last Name

BADER

Business Name

PATRICIA IRENE BADER MD

Original Issue Date

06/28/2018

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023