DAVID B BAUER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019252

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

BAUER

Business Name

DAVID B BAUER

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

06/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006