BETH A BAISDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092214

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

BAISDEN

Suffix

Business Name

BETH A BAISDEN MD

Original Issue Date

12/14/1995

Effective Date

12/13/2017

Expiration Date

09/30/2020

City

DAYTON

State

Zip

45458

County

OHIO

Ever Disciplined

LastModifiedDate

01/14/2021