JOHN A BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047633

License Status

NOT RENEWED

Business

First Name

JOHN A

Last Name

BAKER

Suffix

Business Name

JOHN A BAKER MD

Original Issue Date

08/17/1973

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021