KATRINA D BAKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109653

License Status

NOT RENEWED

Business

First Name

KATRINA

Middle

Last Name

BAKER

Business Name

KATRINA D BAKER

Original Issue Date

07/07/2003

Effective Date

07/07/2003

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006