JAIME SUA BAYLOCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056222

License Status

EXPIRED

Business

Title

First Name

JAIME

Middle

SUA

Last Name

BAYLOCK

Business Name

JAIME SUA BAYLOCK MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

FLOSSMOOR

State

Zip

60422

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012