KATHLEEN M BAUS - Medical Doctor License in Illinois | # 125020215

KATHLEEN M BAUS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020215

License Status

EXPIRED

Business

N

First Name

KATHLEEN

Middle

M

Last Name

BAUS

Business Name

KATHLEEN M BAUS

Original Issue Date

08/05/1986

Effective Date

08/05/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006