BACHTRUC T TU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035573

License Status

EXPIRED

Business

First Name

BACHTRUC

Middle

Last Name

Business Name

BACHTRUC T TU

Original Issue Date

11/14/1996

Effective Date

11/14/1996

Expiration Date

07/09/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006