NORAH FARLEY BAKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

NORAH

Last Name

FARLEY BAKER

Business Name

NORAH FARLEY BAKER MD

Original Issue Date

04/29/2014

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

WATERLOO

State

Zip

62298

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2023