MICHAEL JOHN BAX MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059832

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

BAX

Business Name

MICHAEL JOHN BAX MD

Original Issue Date

06/13/2011

Effective Date

06/13/2011

Expiration Date

06/12/2012

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

08/29/2012