JACK SAMUEL BAUM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068682

License Status

INACTIVE

Business

First Name

JACK SAMUEL

Last Name

BAUM

Business Name

JACK SAMUEL BAUM

Original Issue Date

05/14/1984

Effective Date

05/14/1984

Expiration Date

07/31/1987

City

LOS ANGELES

State

Zip

90004

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006