FRANCIS EMMANUEL BALTASAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056114

License Status

EXPIRED

Business

First Name

FRANCIS

Middle

EMMANUEL

Last Name

BALTASAR

Suffix

Business Name

FRANCIS EMMANUEL BALTASAR MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012