PAUL RANDALL BARACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

RANDALL

Last Name

BARACH

Suffix

Business Name

PAUL RANDALL BARACH MD

Original Issue Date

09/05/2000

Effective Date

09/05/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006