JENNY J BAO MD - Medical Doctor License in Illinois | # 125059951

JENNY J BAO MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059951

License Status

CANCELLED

Business

N

Title

MD

First Name

JENNY

Middle

J

Last Name

BAO

Business Name

JENNY J BAO MD

Original Issue Date

06/10/2011

Effective Date

06/10/2011

Expiration Date

06/09/2014

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014