HEIDI MARIE BAUMERT MD - Medical Doctor License in Illinois | # 125051659

HEIDI MARIE BAUMERT MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051659

License Status

CANCELLED

Business

N

First Name

HEIDI

Middle

MARIE

Last Name

BAUMERT

Suffix

MD

Business Name

HEIDI MARIE BAUMERT MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006