EDWARD K BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049770

License Status

NOT RENEWED

Business

First Name

EDWARD K

Last Name

BAKER

Suffix

Business Name

EDWARD K BAKER MD

Original Issue Date

08/28/1974

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Ever Disciplined

LastModifiedDate

11/30/2023