JENNY J BAO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059951

License Status

CANCELLED

Business

Title

First Name

JENNY

Middle

Last Name

BAO

Business Name

JENNY J BAO MD

Original Issue Date

06/10/2011

Effective Date

06/10/2011

Expiration Date

06/09/2014

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014