MICHELLE CHANDRA BAKER MD - Medical Doctor License in Illinois | # 125069181

MICHELLE CHANDRA BAKER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069181

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHELLE

Middle

CHANDRA

Last Name

BAKER

Business Name

MICHELLE CHANDRA BAKER MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

08/29/2019

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

01/13/2020