KIRKMAN G BAXTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

KIRKMAN G

Last Name

BAXTER

Suffix

Business Name

KIRKMAN G BAXTER MD

Original Issue Date

05/06/1988

Effective Date

05/06/1988

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006