NATHANIEL JAMES BAKER MD - Medical Doctor License in Illinois | # 125074238

NATHANIEL JAMES BAKER MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074238

License Status

CANCELLED

Business

N

Title

MD

First Name

NATHANIEL

Middle

JAMES

Last Name

BAKER

Business Name

NATHANIEL JAMES BAKER MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

05/22/2019