TERRANCE PATRICK BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

TERRANCE PATRICK

Last Name

BAKER

Suffix

Business Name

TERRANCE PATRICK BAKER MD

Original Issue Date

06/13/1994

Effective Date

06/13/1994

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020