TERRY DAVID BAUCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166926

License Status

ACTIVE

Business

Title

First Name

TERRY

Middle

DAVID

Last Name

BAUCH

Business Name

TERRY DAVID BAUCH MD

Original Issue Date

09/07/2023

Effective Date

09/07/2023

Expiration Date

07/31/2026

City

NORFOLK

State

Zip

23507

Ever Disciplined

LastModifiedDate

05/11/2024