MARK PHILIP BAINBRIDGE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123685

License Status

NOT RENEWED

Business

First Name

MARK

Middle

PHILIP

Last Name

BAINBRIDGE

Suffix

Business Name

MARK PHILIP BAINBRIDGE DO

Original Issue Date

06/09/2009

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

11/01/2017