DONALD O BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

DONALD O

Last Name

BAKER

Suffix

Business Name

DONALD O BAKER MD

Original Issue Date

01/01/1997

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017