MARY S BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130855

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

Last Name

BAKER

Business Name

MARY S BAKER MD

Original Issue Date

07/16/2012

Effective Date

07/16/2012

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014