FLORA B BAETIONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

FLORA B

Last Name

BAETIONG

Suffix

Business Name

FLORA B BAETIONG MD

Original Issue Date

07/03/1985

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/28/2023