GREGORY JOHN BAUWENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088756

License Status

NOT RENEWED

Business

First Name

GREGORY JOHN

Last Name

BAUWENS

Suffix

Business Name

GREGORY JOHN BAUWENS MD

Original Issue Date

06/28/1994

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

INDIANAPOLIS

State

Zip

46205

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017