WILLIAM RYAN BAILEY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061535

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

RYAN

Last Name

BAILEY

Business Name

WILLIAM RYAN BAILEY

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/14/2015