DEMETRIUS H BAGLEY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058723

License Status

NOT RENEWED

Business

First Name

DEMETRIUS H

Last Name

BAGLEY JR

Suffix

Business Name

DEMETRIUS H BAGLEY JR MD

Original Issue Date

06/18/1979

Effective Date

06/18/1979

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006