BRIAN L BAKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021662

License Status

EXPIRED

Business

First Name

BRIAN L

Last Name

BAKER

Suffix

Business Name

BRIAN L BAKER MD

Original Issue Date

08/06/1987

Effective Date

08/06/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006