JAIME SUA BAYLOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

JAIME

Middle

SUA

Last Name

BAYLOCK

Business Name

JAIME SUA BAYLOCK MD

Original Issue Date

06/19/2012

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023