CLAY SCOTT BAKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037399

License Status

EXPIRED

Business

First Name

CLAY

Middle

SCOTT

Last Name

BAKER

Suffix

Business Name

CLAY SCOTT BAKER MD

Original Issue Date

06/26/1998

Effective Date

06/26/1998

Expiration Date

06/25/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006