SMITA SANE BAILEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

SMITA

Middle

SANE

Last Name

BAILEY

Suffix

Business Name

SMITA SANE BAILEY MD

Original Issue Date

09/24/1998

Effective Date

09/24/1998

Expiration Date

07/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006