WALTEN I BABA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046824

License Status

ACTIVE

Business

First Name

WALTEN I

Last Name

BABA

Suffix

Business Name

WALTEN I BABA MD

Original Issue Date

02/07/1973

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2023