THOMAS ROY BAUMAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070953

License Status

EXPIRED

Business

Title

First Name

THOMAS

Middle

ROY

Last Name

BAUMAN

Business Name

THOMAS ROY BAUMAN DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/19/2020