SARAH C BAUER - Medical Doctor License in Illinois | # 125047351

SARAH C BAUER

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047351

License Status

CANCELLED

Business

N

First Name

SARAH

Middle

C

Last Name

BAUER

Business Name

SARAH C BAUER

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006