DANE ADAM BAY MD - Medical Doctor License in Illinois | # 125069413

DANE ADAM BAY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069413

License Status

EXPIRED

Business

N

Title

MD

First Name

DANE

Middle

ADAM

Last Name

BAY

Business Name

DANE ADAM BAY MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/02/2019