JONATHAN RYAN BAUER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081992

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

RYAN

Last Name

BAUER

Business Name

JONATHAN RYAN BAUER MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2024

City

EVANSTON

State

Zip

60202

County

ADAMS

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024