AMANDA F BAUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BAUER

Suffix

Business Name

AMANDA F BAUER MD

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017