MICHAEL WALTER BALDAUF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147617

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

WALTER

Last Name

BALDAUF

Business Name

MICHAEL WALTER BALDAUF MD

Original Issue Date

10/19/2018

Effective Date

10/19/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021