DAVID W BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

BAKER

Suffix

Business Name

DAVID W BAKER MD

Original Issue Date

05/29/2002

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020