GERALD M BAKER - Athletics Professional License in Illinois | # 002020018-0002

GERALD M BAKER

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020018-0002

License Status

NOT RENEWED

Business

N

First Name

GERALD M

Last Name

BAKER

Business Name

GERALD M BAKER

Original Issue Date

08/16/1980

Effective Date

08/16/1980

Expiration Date

08/16/1981

State

IL

Ever Disciplined

N

LastModifiedDate

09/18/2006