PHILIP LAWRENCE BAILIN MD - Medical Doctor License in Ohio | # 036107455

PHILIP LAWRENCE BAILIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107455

License Status

NOT RENEWED

Business

N

First Name

PHILIP

Middle

LAWRENCE

Last Name

BAILIN

Suffix

MD

Business Name

PHILIP LAWRENCE BAILIN MD

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

07/31/2005

State

OH

Ever Disciplined

N

LastModifiedDate

10/09/2006