DANIEL BERNARD BAUWENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

DANIEL BERNARD

Last Name

BAUWENS

Suffix

Business Name

DANIEL BERNARD BAUWENS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020