ANEZI E BAKKEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100289

License Status

NOT RENEWED

Business

First Name

ANEZI

Middle

Last Name

BAKKEN

Suffix

Business Name

ANEZI E BAKKEN MD

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006