JAMES D BAKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

JAMES D

Last Name

BAKER

Business Name

JAMES D BAKER

Original Issue Date

10/20/1995

Effective Date

10/20/1995

Expiration Date

07/31/1999

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006