MICHELLE A BAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

MICHELLE A

Last Name

BAUM

Suffix

Business Name

MICHELLE A BAUM MD

Original Issue Date

07/06/1992

Effective Date

07/06/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006