ALEXANDRA J BAUMANN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000975

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

BAUMANN

Suffix

Business Name

ALEXANDRA J BAUMANN DO

Original Issue Date

03/06/2014

Effective Date

03/06/2014

Expiration Date

04/05/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

08/12/2014