DAVID HENRY BAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113973

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

HENRY

Last Name

BAUM

Suffix

Business Name

DAVID HENRY BAUM MD

Original Issue Date

06/22/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/06/2008