Debra R Baum
InactiveIllinois license 085002445
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085002445
- Status
- Inactive
- First issued
- January 12, 2005
- Expired
- March 1, 2006
- License holder
- Debra R Baum
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 01/12/2005
Contact
La Crosse, WI 54603
Wisconsin County