PRESTON BAKER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079136

License Status

CANCELLED

Business

Title

First Name

PRESTON

Last Name

BAKER

Business Name

PRESTON BAKER MD

Original Issue Date

07/19/2021

Effective Date

07/19/2021

Expiration Date

07/18/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2021