MICHAEL WALTER BALDAUF MD - Medical Doctor License in Illinois | # 125069228

MICHAEL WALTER BALDAUF MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069228

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

WALTER

Last Name

BALDAUF

Business Name

MICHAEL WALTER BALDAUF MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

State

IL

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

N

LastModifiedDate

10/02/2019