HAROLD G BACH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043416

License Status

EXPIRED

Business

First Name

HAROLD

Middle

Last Name

BACH

Business Name

HAROLD G BACH

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006