BARON VON BAUCOM MD - Medical Doctor License in Illinois | # 036061523

BARON VON BAUCOM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061523

License Status

NOT RENEWED

Business

N

First Name

BARON

Middle

VON

Last Name

BAUCOM

Suffix

MD

Business Name

BARON VON BAUCOM MD

Original Issue Date

02/03/1981

Effective Date

04/25/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

Y

LastModifiedDate

12/11/2015

Case Number

1995005431

Action

Suspension

Discipline Start Date

06/23/2000

Discipline End Date

09/06/2002