QUANEICEY BAXTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

QUANEICEY

Last Name

BAXTER

Business Name

QUANEICEY BAXTER MD

Original Issue Date

05/01/2023

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

BLYTHEWOOD

State

Zip

29016

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023