MICHELLE A BAUM MD - Medical Doctor License in Illinois | # 125023409

MICHELLE A BAUM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023409

License Status

EXPIRED

Business

N

First Name

MICHELLE A

Last Name

BAUM

Suffix

MD

Business Name

MICHELLE A BAUM MD

Original Issue Date

04/26/1989

Effective Date

04/26/1989

Expiration Date

06/21/1992

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006