KIMBERLY T BAKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104041

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BAKER

Business Name

KIMBERLY T BAKER

Original Issue Date

01/17/2001

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011