DANIEL B BACA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025219

License Status

EXPIRED

Business

First Name

DANIEL B

Last Name

BACA

Suffix

Business Name

DANIEL B BACA MD

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006