JAMIE C BAINES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054281

License Status

EXPIRED

Business

First Name

JAMIE

Middle

Last Name

BAINES

Suffix

Business Name

JAMIE C BAINES DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011