JOSHUA RANDALL BAKKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068237

License Status

EXPIRED

Business

Title

First Name

JOSHUA

Middle

RANDALL

Last Name

BAKKE

Business Name

JOSHUA RANDALL BAKKE MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017