RONALD H BAILEY JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000732

License Status

NOT RENEWED

Business

First Name

RONALD H

Last Name

BAILEY JR

Business Name

RONALD H BAILEY JR

Original Issue Date

02/06/1996

Effective Date

02/06/1996

Expiration Date

03/01/2002

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006