RACHEL CATHERINE BALTASAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126455

License Status

NOT RENEWED

Business

Title

First Name

RACHEL

Middle

CATHERINE

Last Name

BALTASAR

Business Name

RACHEL CATHERINE BALTASAR MD

Original Issue Date

08/10/2010

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014