DAVID A BAXENDALE II DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024792

License Status

EXPIRED

Business

First Name

DAVID A

Last Name

BAXENDALE II

Suffix

Business Name

DAVID A BAXENDALE II DO

Original Issue Date

05/16/1990

Effective Date

05/16/1990

Expiration Date

06/21/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006