DUSTYN CLAYTON BAKER MD - Medical Doctor License in Illinois | # 125052988

DUSTYN CLAYTON BAKER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052988

License Status

EXPIRED

Business

N

First Name

DUSTYN

Middle

CLAYTON

Last Name

BAKER

Suffix

MD

Business Name

DUSTYN CLAYTON BAKER MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/24/2010