LARRY J BAYLIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024974

License Status

EXPIRED

Business

First Name

LARRY

Middle

Last Name

BAYLIS

Business Name

LARRY J BAYLIS

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/21/1991

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006