FRANCIS EMMANUEL BALTASAR MD - Medical Doctor License in Illinois | # 125056114

FRANCIS EMMANUEL BALTASAR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056114

License Status

EXPIRED

Business

N

First Name

FRANCIS

Middle

EMMANUEL

Last Name

BALTASAR

Suffix

MD

Business Name

FRANCIS EMMANUEL BALTASAR MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

08/29/2012