GERARDO L BALDASSARRI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038648

License Status

EXPIRED

Business

First Name

GERARDO

Middle

Last Name

BALDASSARRI

Suffix

Business Name

GERARDO L BALDASSARRI MD

Original Issue Date

06/26/1998

Effective Date

06/26/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006