JENNY QUAN BAO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064665

License Status

CANCELLED

Business

Title

First Name

JENNY

Middle

QUAN

Last Name

BAO

Business Name

JENNY QUAN BAO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/21/2014