ALEXANDRA J BAUMANN DO - Medical Doctor License in Illinois | # 130000975

ALEXANDRA J BAUMANN DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000975

License Status

NOT RENEWED

Business

N

First Name

ALEXANDRA

Middle

J

Last Name

BAUMANN

Suffix

DO

Business Name

ALEXANDRA J BAUMANN DO

Original Issue Date

03/06/2014

Effective Date

03/06/2014

Expiration Date

04/05/2014

State

IL

Specialty/Qualifier

Gastroenterology

Ever Disciplined

N

LastModifiedDate

08/12/2014