KATRINA D BAKER - Medical Doctor License in Illinois | # 125040808

KATRINA D BAKER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040808

License Status

EXPIRED

Business

N

First Name

KATRINA

Middle

D

Last Name

BAKER

Business Name

KATRINA D BAKER

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006