KIMBERLY T BAKER - Medical Doctor License in Illinois | # 125031265

KIMBERLY T BAKER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031265

License Status

EXPIRED

Business

N

First Name

KIMBERLY

Middle

T

Last Name

BAKER

Business Name

KIMBERLY T BAKER

Original Issue Date

05/19/1994

Effective Date

05/19/1994

Expiration Date

06/30/2001

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006