BRADLEY E BAKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095845

License Status

INACTIVE

Business

First Name

BRADLEY

Middle

Last Name

BAKER

Suffix

Business Name

BRADLEY E BAKER MD

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

07/31/2005

City

ALBUQUERQUE

State

Zip

87111

Ever Disciplined

LastModifiedDate

10/23/2009

Case Number

2009008027

Action

Refuse To Renew

Discipline Start Date

10/23/2009

Discipline Reason

after being disciplined in the state of Oregon.