KATHLEEN M BAUS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020215

License Status

EXPIRED

Business

First Name

KATHLEEN

Middle

Last Name

BAUS

Business Name

KATHLEEN M BAUS

Original Issue Date

08/05/1986

Effective Date

08/05/1986

Expiration Date

07/01/1989

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006