KENNETH MICHAEL BAILEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

MICHAEL

Last Name

BAILEY

Suffix

Business Name

KENNETH MICHAEL BAILEY MD

Original Issue Date

10/28/2011

Effective Date

04/08/2014

Expiration Date

07/31/2017

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017