GERARDO L BALDASSARRI MD - Medical Doctor License in Illinois | # 125038648

GERARDO L BALDASSARRI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038648

License Status

EXPIRED

Business

N

First Name

GERARDO

Middle

L

Last Name

BALDASSARRI

Suffix

MD

Business Name

GERARDO L BALDASSARRI MD

Original Issue Date

06/26/1998

Effective Date

06/26/1998

Expiration Date

06/30/2001

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006