JAY ALTON BAUERLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

JAY

Middle

ALTON

Last Name

BAUERLE

Suffix

Business Name

JAY ALTON BAUERLE MD

Original Issue Date

07/13/1999

Effective Date

07/13/1999

Expiration Date

07/31/2002

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006