WAYNE JOSEPH BAKER DO - Medical Doctor License in Illinois | # 125034392

WAYNE JOSEPH BAKER DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034392

License Status

EXPIRED

Business

N

First Name

WAYNE

Middle

JOSEPH

Last Name

BAKER

Suffix

DO

Business Name

WAYNE JOSEPH BAKER DO

Original Issue Date

05/16/1996

Effective Date

05/16/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006