BRUCE LANDON BARIDON - Medical Doctor License in Illinois | # 125018554

BRUCE LANDON BARIDON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018554

License Status

EXPIRED

Business

N

First Name

BRUCE LANDON

Last Name

BARIDON

Business Name

BRUCE LANDON BARIDON

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006