BURTON E BAGBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

BURTON E

Last Name

BAGBY

Suffix

Business Name

BURTON E BAGBY MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

TAMMS

State

Zip

62988

County

ALEXANDER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006