SAMUEL STEVEN BAILEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

STEVEN

Last Name

BAILEY

Suffix

Business Name

SAMUEL STEVEN BAILEY MD

Original Issue Date

04/29/2008

Effective Date

04/29/2008

Expiration Date

07/31/2011

City

GME 527 ACFAC

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011