PAUL RANDALL BARACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103377

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

RANDALL

Last Name

BARACH

Suffix

Business Name

PAUL RANDALL BARACH MD

Original Issue Date

08/30/2000

Effective Date

08/30/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/18/2020