JAY ALTON BAUERLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100332

License Status

NOT RENEWED

Business

First Name

JAY

Middle

ALTON

Last Name

BAUERLE

Suffix

Business Name

JAY ALTON BAUERLE MD

Original Issue Date

06/16/1999

Effective Date

06/16/1999

Expiration Date

07/31/2002

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

03/18/2010