FREDERIQUE CLAUDE BAILLIARD-BABB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111654

License Status

NOT RENEWED

Business

First Name

FREDERIQUE

Middle

CLAUDE

Last Name

BAILLIARD-BABB

Suffix

Business Name

FREDERIQUE CLAUDE BAILLIARD-BABB MD

Original Issue Date

06/22/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008