FLORA B BAETIONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016290

License Status

EXPIRED

Business

First Name

FLORA B

Last Name

BAETIONG

Suffix

Business Name

FLORA B BAETIONG MD

Original Issue Date

07/26/1983

Effective Date

07/26/1983

Expiration Date

07/11/1985

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006