STEPHEN R BAYNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

STEPHEN R

Last Name

BAYNE

Suffix

Business Name

STEPHEN R BAYNE MD

Original Issue Date

10/23/1996

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

TAYLOR RIDGE

State

Zip

61284

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023