TERRANCE PATRICK BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

TERRANCE PATRICK

Last Name

BAKER

Suffix

Business Name

TERRANCE PATRICK BAKER MD

Original Issue Date

07/25/1996

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021