FLORA B BAETIONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

FLORA B

Last Name

BAETIONG

Suffix

Business Name

FLORA B BAETIONG MD

Original Issue Date

08/08/1996

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020