PETER A BAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

PETER A

Last Name

BAUM

Suffix

Business Name

PETER A BAUM MD

Original Issue Date

08/02/2023

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2023