WENDY BACA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030030

License Status

EXPIRED

Business

First Name

WENDY

Last Name

BACA

Business Name

WENDY BACA

Original Issue Date

06/01/1993

Effective Date

06/01/1993

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006