SMITA SANE BAILEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099099

License Status

NOT RENEWED

Business

First Name

SMITA

Middle

SANE

Last Name

BAILEY

Suffix

Business Name

SMITA SANE BAILEY MD

Original Issue Date

09/23/1998

Effective Date

09/23/1998

Expiration Date

07/31/2005

City

MILWAUKEE

State

Zip

53226

Ever Disciplined

LastModifiedDate

07/23/2008