ROMAINE B BAYLESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074471

License Status

NOT RENEWED

Business

First Name

ROMAINE B

Last Name

BAYLESS

Suffix

Business Name

ROMAINE B BAYLESS MD

Original Issue Date

02/06/1987

Effective Date

02/06/1987

Expiration Date

07/31/2005

City

ROCKFORD

State

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006