JOCELYN BAILOSIS LORENZO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068990

License Status

EXPIRED

Business

Title

First Name

JOCELYN

Middle

BAILOSIS

Last Name

LORENZO

Business Name

JOCELYN BAILOSIS LORENZO MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/02/2019