MARK JAY BAILIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069383

License Status

NOT RENEWED

Business

First Name

MARK JAY

Last Name

BAILIN

Suffix

Business Name

MARK JAY BAILIN MD

Original Issue Date

08/24/1984

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014