DOUGLAS BAIRD COURSIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

INACTIVE

Business

Title

First Name

DOUGLAS

Middle

BAIRD

Last Name

COURSIN

Business Name

DOUGLAS BAIRD COURSIN MD

Original Issue Date

08/18/2020

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2023