NORAH FARLEY BAKER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060572

License Status

CANCELLED

Business

Title

First Name

NORAH

Last Name

FARLEY BAKER

Business Name

NORAH FARLEY BAKER MD

Original Issue Date

06/28/2011

Effective Date

06/28/2011

Expiration Date

06/27/2014

City

WATERLOO

State

Zip

62298

County

MONROE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/28/2011