NICOLE M BAIER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044125

License Status

EXPIRED

Business

First Name

NICOLE

Middle

Last Name

BAIER

Business Name

NICOLE M BAIER

Original Issue Date

04/30/2002

Effective Date

04/30/2002

Expiration Date

06/21/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006