INES O BAQUERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

INES O

Last Name

BAQUERO

Suffix

Business Name

INES O BAQUERO MD

Original Issue Date

06/26/1985

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011