MICHAEL ANTHONY BAUML MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ANTHONY

Last Name

BAUML

Suffix

Business Name

MICHAEL ANTHONY BAUML MD

Original Issue Date

02/04/2011

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

DARIEN

State

Zip

60561

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014