JEREMY EDUARD BAPTIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059076

License Status

NOT RENEWED

Business

First Name

JEREMY EDUARD

Last Name

BAPTIST

Suffix

Business Name

JEREMY EDUARD BAPTIST MD

Original Issue Date

08/20/1979

Effective Date

08/20/1979

Expiration Date

07/31/1984

City

MISSION

State

Zip

66202

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006