MICHELLE CHANDRA BAKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069181

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

CHANDRA

Last Name

BAKER

Business Name

MICHELLE CHANDRA BAKER MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

08/29/2019

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/13/2020