TERRANCE PATRICK BAKER MD - Medical Doctor License in Illinois | # 125026509

TERRANCE PATRICK BAKER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026509

License Status

EXPIRED

Business

N

First Name

TERRANCE PATRICK

Last Name

BAKER

Suffix

MD

Business Name

TERRANCE PATRICK BAKER MD

Original Issue Date

05/08/1991

Effective Date

05/08/1991

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006