JOSEPH ANTHONY BAX DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050845

License Status

EXPIRED

Business

First Name

JOSEPH

Middle

ANTHONY

Last Name

BAX

Suffix

Business Name

JOSEPH ANTHONY BAX DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

07/03/2007