GEOFFREY L BAUER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043832

License Status

EXPIRED

Business

First Name

GEOFFREY

Middle

Last Name

BAUER

Business Name

GEOFFREY L BAUER

Original Issue Date

02/01/2002

Effective Date

02/01/2002

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006