THOMAS E BAKER - Medical Doctor License in Illinois | # 125042816

THOMAS E BAKER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042816

License Status

EXPIRED

Business

N

First Name

THOMAS

Middle

E

Last Name

BAKER

Business Name

THOMAS E BAKER

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

06/24/2004

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006