LARRY J BAYLIS - Medical Doctor License in Illinois | # 125024974

LARRY J BAYLIS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024974

License Status

EXPIRED

Business

N

First Name

LARRY

Middle

J

Last Name

BAYLIS

Business Name

LARRY J BAYLIS

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/21/1991

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006