BEVERLY WIRTH BARON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041146

License Status

INACTIVE

Business

First Name

BEVERLY WIRTH

Last Name

BARON

Suffix

Business Name

BEVERLY WIRTH BARON MD

Original Issue Date

07/28/1967

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

CHESTNUT HILL

State

Zip

02467

Ever Disciplined

LastModifiedDate

04/06/2023