BRIAN L BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077729

License Status

NOT RENEWED

Business

First Name

BRIAN L

Last Name

BAKER

Suffix

Business Name

BRIAN L BAKER MD

Original Issue Date

08/30/1988

Effective Date

08/30/1988

Expiration Date

07/31/1993

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006