MICHAEL R BAKER - Medical Doctor License in Illinois | # 125024025

MICHAEL R BAKER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024025

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

R

Last Name

BAKER

Business Name

MICHAEL R BAKER

Original Issue Date

06/06/1989

Effective Date

06/06/1989

Expiration Date

06/30/1993

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006