LOUIS GEORGE BAESEMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075252

License Status

CANCELLED

Business

Title

First Name

LOUIS

Middle

GEORGE

Last Name

BAESEMAN

Business Name

LOUIS GEORGE BAESEMAN MD

Original Issue Date

06/28/2019

Effective Date

06/28/2019

Expiration Date

06/27/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/28/2019