K MICHAEL BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

K MICHAEL

Last Name

BAKER

Suffix

Business Name

K MICHAEL BAKER MD

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

07/31/2008

City

VONORE

State

Zip

37885

County

TENNESSEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020