DAVID W BAKER Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007079

License Status

INACTIVE

Business

First Name

DAVID W

Last Name

BAKER

Business Name

DAVID W BAKER

Original Issue Date

07/27/1978

Effective Date

02/25/2004

Expiration Date

03/31/2006

City

LONGMONT

State

Zip

80503

Ever Disciplined

LastModifiedDate

01/18/2006