ELLIOT D BAKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

ELLIOT D

Last Name

BAKER

Suffix

Business Name

ELLIOT D BAKER MD

Original Issue Date

10/22/1985

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023