BAILEY ANN WENTWORTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154638

License Status

ACTIVE

Business

Title

First Name

BAILEY

Middle

ANN

Last Name

WENTWORTH

Business Name

BAILEY ANN WENTWORTH MD

Original Issue Date

10/30/2020

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

Ever Disciplined

LastModifiedDate

04/10/2023