JEFFREY WAYNE BAILET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120888

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

WAYNE

Last Name

BAILET

Business Name

JEFFREY WAYNE BAILET MD

Original Issue Date

05/15/2008

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017