WENDY BACA - Medical Doctor License in Illinois | # 125030030

WENDY BACA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030030

License Status

EXPIRED

Business

N

First Name

WENDY

Last Name

BACA

Business Name

WENDY BACA

Original Issue Date

06/01/1993

Effective Date

06/01/1993

Expiration Date

06/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006