KENNETH ALAN BAUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053248

License Status

NOT RENEWED

Business

First Name

KENNETH ALAN

Last Name

BAUER

Suffix

Business Name

KENNETH ALAN BAUER MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006