MICHAEL LIONEL BAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

MICHAEL LIONEL

Last Name

BAUM

Suffix

Business Name

MICHAEL LIONEL BAUM MD

Original Issue Date

01/01/1997

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021