DANIEL CHARLES BAXTER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028351

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

CHARLES

Last Name

BAXTER

Business Name

DANIEL CHARLES BAXTER DO

Original Issue Date

05/27/1992

Effective Date

05/27/1992

Expiration Date

06/21/1993

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006