JAIME SUA BAYLOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128942

License Status

ACTIVE

Business

Title

First Name

JAIME

Middle

SUA

Last Name

BAYLOCK

Business Name

JAIME SUA BAYLOCK MD

Original Issue Date

09/13/2011

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2023