BRET R BAACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074921

License Status

NOT RENEWED

Business

First Name

BRET R

Last Name

BAACK

Suffix

Business Name

BRET R BAACK MD

Original Issue Date

04/24/1987

Effective Date

04/24/1987

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006