SAMUEL DEAN BAUGHMAN JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

DEAN

Last Name

BAUGHMAN JR

Business Name

SAMUEL DEAN BAUGHMAN JR

Original Issue Date

07/17/2020

Effective Date

07/17/2020

Expiration Date

07/31/2023

City

MYRTLE BEACH

State

Zip

29577

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023