JOSEPH GREGORY BAUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

GREGORY

Last Name

BAUER

Suffix

Business Name

JOSEPH GREGORY BAUER MD

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006