TANYA JO BAILEY MD - Medical Doctor License in Illinois | # 125055224

TANYA JO BAILEY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055224

License Status

CANCELLED

Business

N

First Name

TANYA

Middle

JO

Last Name

BAILEY

Suffix

MD

Business Name

TANYA JO BAILEY MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

04/08/2008