HAROLD HENRY BACH IV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054150

License Status

CANCELLED

Business

First Name

HAROLD

Middle

HENRY

Last Name

BACH

Suffix

IV MD

Business Name

HAROLD HENRY BACH IV MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/11/2010