FREDERICK BAGARES DO - Medical Doctor License in Illinois | # 125054591

FREDERICK BAGARES DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054591

License Status

CANCELLED

Business

N

First Name

FREDERICK

Last Name

BAGARES

Suffix

DO

Business Name

FREDERICK BAGARES DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

State

IL

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

N

LastModifiedDate

05/28/2008