NICOLE M BAIER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112661

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BAIER

Business Name

NICOLE M BAIER

Original Issue Date

11/16/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008