KEITH R BAKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069975

License Status

INACTIVE

Business

First Name

KEITH R

Last Name

BAKER

Suffix

Business Name

KEITH R BAKER MD

Original Issue Date

01/02/1985

Effective Date

01/02/1985

Expiration Date

07/31/1990

City

ANGOLA

State

Zip

46703

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006