ANDREW MARK BAUDO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047306

License Status

CANCELLED

Business

First Name

ANDREW

Middle

MARK

Last Name

BAUDO

Business Name

ANDREW MARK BAUDO

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

06/20/2008

City

EAST GRAND RAPIDS

State

Zip

49506

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/26/2007