CHAD ERIC BAKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054586

License Status

EXPIRED

Business

Title

First Name

CHAD

Middle

ERIC

Last Name

BAKER

Business Name

CHAD ERIC BAKER MD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

06/25/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009