DELORES FAYE BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

DELORES

Middle

FAYE

Last Name

BAKER

Business Name

DELORES FAYE BAKER MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

DETROIT

State

Zip

48215

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020