ABBEY THEREASA BAUS

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****83

ACTIVE

N

ABBEY

THEREASA

BAUS

ABBEY THEREASA BAUS

03/10/2016

02/02/2026

03/01/2028

CHICAGO

IL

60657

COOK

II III IV V

N

02/02/2026