JOSHUA JACK BAKER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064881

License Status

EXPIRED

Business

Title

First Name

JOSHUA

Middle

JACK

Last Name

BAKER

Business Name

JOSHUA JACK BAKER DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/19/2017