STEPHEN A BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

STEPHEN A

Last Name

BAKER

Suffix

Business Name

STEPHEN A BAKER MD

Original Issue Date

08/13/2008

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017