FLORA B BAETIONG MD - Medical Doctor License in Illinois | # 125016290

FLORA B BAETIONG MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016290

License Status

EXPIRED

Business

N

First Name

FLORA B

Last Name

BAETIONG

Suffix

MD

Business Name

FLORA B BAETIONG MD

Original Issue Date

07/26/1983

Effective Date

07/26/1983

Expiration Date

07/11/1985

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006