LOUIS GEORGE BAESEMAN MD - Medical Doctor License in Illinois | # 125075252

LOUIS GEORGE BAESEMAN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075252

License Status

CANCELLED

Business

N

Title

MD

First Name

LOUIS

Middle

GEORGE

Last Name

BAESEMAN

Business Name

LOUIS GEORGE BAESEMAN MD

Original Issue Date

06/28/2019

Effective Date

06/28/2019

Expiration Date

06/27/2022

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/28/2019