SU AH BAE MD - Medical Doctor License in Illinois | # 125061534

SU AH BAE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061534

License Status

EXPIRED

Business

N

First Name

SU

Middle

AH

Last Name

BAE

Suffix

MD

Business Name

SU AH BAE MD

Original Issue Date

07/16/2012

Effective Date

07/16/2012

Expiration Date

07/15/2014

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/13/2015