RYAN LAWRENCE BAKER MD - Medical Doctor License in Illinois | # 125056081

RYAN LAWRENCE BAKER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056081

License Status

EXPIRED

Business

N

Title

MD

First Name

RYAN

Middle

LAWRENCE

Last Name

BAKER

Business Name

RYAN LAWRENCE BAKER MD

Original Issue Date

06/29/2009

Effective Date

06/29/2009

Expiration Date

06/28/2012

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

08/29/2012