EDWARD SIMON BAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049917

License Status

NOT RENEWED

Business

First Name

EDWARD SIMON

Last Name

BAUM

Suffix

Business Name

EDWARD SIMON BAUM MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006