DELORES FAYE BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135664

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

10/15/2020

Expiration Date

07/31/2023

City

JOHNS ISLAND

State

Zip

29414

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

11/30/2023