RACHEL CATHERINE BALTASAR MD - Medical Doctor License in Illinois | # 036126455

RACHEL CATHERINE BALTASAR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126455

License Status

NOT RENEWED

Business

N

Title

MD

First Name

RACHEL

Middle

CATHERINE

Last Name

BALTASAR

Business Name

RACHEL CATHERINE BALTASAR MD

Original Issue Date

08/10/2010

Effective Date

04/25/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014