MARK JAY BAILIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

MARK JAY

Last Name

BAILIN

Suffix

Business Name

MARK JAY BAILIN MD

Original Issue Date

08/22/1985

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014