CORNELIS BERNARD BAKKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059821

License Status

NOT RENEWED

Business

First Name

CORNELIS BERNARD

Last Name

BAKKER

Suffix

Business Name

CORNELIS BERNARD BAKKER MD

Original Issue Date

12/14/1979

Effective Date

12/14/1979

Expiration Date

07/31/1984

City

PEORIA

State

Zip

61656

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006