JAMIE L BAUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000248

License Status

EXPIRED

Business

First Name

JAMIE

Middle

Last Name

BAUM

Suffix

Business Name

JAMIE L BAUM MD

Original Issue Date

10/01/2005

Effective Date

10/01/2005

Expiration Date

01/31/2006

City

GREENVILLE

State

Zip

62246

County

BOND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006