DANIEL B BACA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084693

License Status

INACTIVE

Business

First Name

DANIEL B

Last Name

BACA

Suffix

Business Name

DANIEL B BACA MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/1996

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

09/20/2006