KEITH R BAKER MD - Medical Doctor License in Indiana | # 036069975

KEITH R BAKER MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069975

License Status

INACTIVE

Business

N

First Name

KEITH R

Last Name

BAKER

Suffix

MD

Business Name

KEITH R BAKER MD

Original Issue Date

01/02/1985

Effective Date

01/02/1985

Expiration Date

07/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006