REBECCA MILLER BAGGETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

REBECCA

Middle

MILLER

Last Name

BAGGETT

Business Name

REBECCA MILLER BAGGETT MD

Original Issue Date

08/22/2022

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023