HONEID M BAXAMUSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045522

License Status

NOT RENEWED

Business

First Name

HONEID M

Last Name

BAXAMUSA

Suffix

Business Name

HONEID M BAXAMUSA MD

Original Issue Date

03/27/1972

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/14/2021