DAVID HENRY BAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

HENRY

Last Name

BAUM

Suffix

Business Name

DAVID HENRY BAUM MD

Original Issue Date

07/07/2005

Effective Date

07/07/2005

Expiration Date

07/31/2008

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008