JOHN M BAILITZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039194

License Status

EXPIRED

Business

First Name

JOHN

Middle

Last Name

BAILITZ

Suffix

Business Name

JOHN M BAILITZ MD

Original Issue Date

06/16/1999

Effective Date

06/16/1999

Expiration Date

06/15/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006