ADRIENNE E LEBAILLY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062192

License Status

INACTIVE

Business

First Name

ADRIENNE E

Last Name

LEBAILLY

Suffix

Business Name

ADRIENNE E LEBAILLY MD

Original Issue Date

06/02/1981

Effective Date

06/02/1981

Expiration Date

07/31/1987

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006