CHAMP L BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118255

License Status

NOT RENEWED

Business

First Name

CHAMP

Middle

Last Name

BAKER

Suffix

Business Name

CHAMP L BAKER MD

Original Issue Date

04/25/2007

Effective Date

04/25/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008