FREDERICK BAGARES DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054591

License Status

CANCELLED

Business

First Name

FREDERICK

Last Name

BAGARES

Suffix

Business Name

FREDERICK BAGARES DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

05/28/2008