LEWELLYN BRINGLE BAYBA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044917

License Status

INACTIVE

Business

First Name

LEWELLYN BRINGLE

Last Name

BAYBA

Suffix

Business Name

LEWELLYN BRINGLE BAYBA MD

Original Issue Date

10/08/1971

Effective Date

10/08/1971

Expiration Date

07/31/1987

City

SAN MANUEL

State

Zip

85631

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006