KENNETH MICHAEL BAILEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113410

License Status

INACTIVE

Business

First Name

KENNETH

Middle

MICHAEL

Last Name

BAILEY

Suffix

Business Name

KENNETH MICHAEL BAILEY MD

Original Issue Date

04/07/2005

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

FORT WORTH

State

Zip

76102

County

TEXAS

Ever Disciplined

LastModifiedDate

06/03/2014