SUSAN A BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105019

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BAKER

Suffix

Business Name

SUSAN A BAKER MD

Original Issue Date

06/22/2001

Effective Date

06/22/2001

Expiration Date

07/31/2005

City

HUNTINGTON BEACH

State

Zip

92646

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006