NATHANIEL JAMES BAKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159141

License Status

ACTIVE

Business

Title

First Name

NATHANIEL

Middle

JAMES

Last Name

BAKER

Business Name

NATHANIEL JAMES BAKER MD

Original Issue Date

01/07/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

04/11/2023