TALIA B BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105167

License Status

NOT RENEWED

Business

First Name

TALIA

Middle

Last Name

BAKER

Suffix

Business Name

TALIA B BAKER MD

Original Issue Date

07/10/2001

Effective Date

07/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023