GABRIELA BAEZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057534

License Status

CANCELLED

Business

Title

First Name

GABRIELA

Last Name

BAEZA

Business Name

GABRIELA BAEZA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/04/2010