ASHLEY BAQUERO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

CANCELLED

Business

First Name

ASHLEY

Last Name

BAQUERO

Suffix

Business Name

ASHLEY BAQUERO MD

Original Issue Date

01/12/2005

Effective Date

01/12/2005

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011