JEFFREY ROBERT BAKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084064

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

ROBERT

Last Name

BAKER

Business Name

JEFFREY ROBERT BAKER MD

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

06/25/2027

City

SPRINGFIELD

State

Zip

62794

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

05/30/2024