REBECCA MARIE BAUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

REBECCA

Middle

MARIE

Last Name

BAUER

Business Name

REBECCA MARIE BAUER MD

Original Issue Date

07/05/2012

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

HOUSTON

State

Zip

77004

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021