NICOLE M BAIER - Medical Doctor License in Illinois | # 125044125

NICOLE M BAIER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044125

License Status

EXPIRED

Business

N

First Name

NICOLE

Middle

M

Last Name

BAIER

Business Name

NICOLE M BAIER

Original Issue Date

04/30/2002

Effective Date

04/30/2002

Expiration Date

06/21/2005

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006