BRIAN LEE BAKER MD - Medical Doctor License in Illinois | # 125045637

BRIAN LEE BAKER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045637

License Status

EXPIRED

Business

N

First Name

BRIAN

Middle

LEE

Last Name

BAKER

Suffix

MD

Business Name

BRIAN LEE BAKER MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2007

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

07/03/2007