HARRY EDUARDO FUENTES-BAYNE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064896

License Status

CANCELLED

Business

Title

First Name

HARRY

Middle

EDUARDO

Last Name

FUENTES-BAYNE

Business Name

HARRY EDUARDO FUENTES-BAYNE MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/03/2014