MICHELLE A BAUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084196

License Status

INACTIVE

Business

First Name

MICHELLE A

Last Name

BAUM

Suffix

Business Name

MICHELLE A BAUM MD

Original Issue Date

04/01/1992

Effective Date

04/01/1992

Expiration Date

07/31/1993

City

WAREHAM

State

Zip

02571

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006