CHAD R BAKER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009944

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

BAKER

Business Name

CHAD R BAKER

Original Issue Date

05/30/2007

Effective Date

02/20/2020

Expiration Date

05/31/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022