PHILIP LAWRENCE BAILIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107455

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

LAWRENCE

Last Name

BAILIN

Suffix

Business Name

PHILIP LAWRENCE BAILIN MD

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

07/31/2005

City

CLEVELAND

State

Zip

44195

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006