JACK SAMUEL BAUM - Medical Doctor License in California | # 036068682

JACK SAMUEL BAUM

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068682

License Status

INACTIVE

Business

N

First Name

JACK SAMUEL

Last Name

BAUM

Business Name

JACK SAMUEL BAUM

Original Issue Date

05/14/1984

Effective Date

05/14/1984

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006