DONALD JAMES BAKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

JAMES

Last Name

BAKER

Business Name

DONALD JAMES BAKER

Original Issue Date

02/06/2007

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

ITHACA

State

Zip

14850

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014