RACHEL CATHERINE BALTASAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

RACHEL

Middle

CATHERINE

Last Name

BALTASAR

Business Name

RACHEL CATHERINE BALTASAR MD

Original Issue Date

08/10/2010

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014