ANDREW MARK BAUDO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

ANDREW

Middle

MARK

Last Name

BAUDO

Business Name

ANDREW MARK BAUDO

Original Issue Date

12/03/2008

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

GRAND RAPIDS

State

Zip

49525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023