NATHANIEL JAMES BAKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

NATHANIEL

Middle

JAMES

Last Name

BAKER

Business Name

NATHANIEL JAMES BAKER MD

Original Issue Date

01/13/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

METAMORA

State

Zip

61548

County

WOODFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023