KENNETH ALVIN BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031594

License Status

NOT RENEWED

Business

First Name

KENNETH ALVIN

Last Name

BAKER

Suffix

Business Name

KENNETH ALVIN BAKER MD

Original Issue Date

09/04/1952

Effective Date

09/04/1952

Expiration Date

07/31/1996

City

ST PETERSBURG

State

Zip

33715

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006